The accessories are determined on mint, when you buy the healer. We may give people a few things they can pre-select (not certain) but it'll be random what accessories (if any) they'll get. Those will stay with the profile pic version of your healer forever (it is a picture after all :D) but the 3d characters may change looks in the near future based on items you equip and so on, but that's for the future when we have a lot more funding to spend on it as it's quite expensive.
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