James was one of the few Americans trapped in Chernarus during the outbreak. He worked as a nurse with the red cross during one of their attempted relief efforts at the beginning of the infection. After however many years, James still remains in the small soviet country, trapped and cut off from the rest of the world, unsure of what has become of his family and friends back in America. He remains on the move for the most part, trying to distance himself from the countless other survivors scavenging the countryside. After numerous failed attempts at escaping the doomed country, Arthur resigned to remain there and survive in hopes that the situation would eventually get better.