The earliest mention of Swain appears in the notes of a doctor at a Noxus nursing home

According to reports, Swain limped into the ward without shouting or complaining, his right leg was broken in two and the bones were broken. On his shoulder stood a gloomy bird that seemed to stick to his shoulder. When the doctor asked about his health and age, the young Swain replied calmly, even staring straight at the doctor, which made the doctor a little scared.