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After you have joined the dark world of the undead, monsters and beasts and become a vampire or werewolf then you can choose to be a male or female for free, but any other alterations to your character will cost you "hellstones" that can be purchased with real money from the Voodoo Shop in the City. Or you can choose to use your Facebook profile picture. The appearance options are limited even when you pay, so it's really not worth it.
Now that you have your character's name and look, you should begin training immediately. You have to pay in gold to train and you will automatically start off with 50 gold. Go to the "overveiw" page and scroll down to the "skills" section on the left side. Use enough gold to train up at least a few levels in each skill: strength, defence, dexterity, endurance and charisma.
Tip: Now visit the City and go to the Grotto to try and earn some more gold by battling a daemon. Chances are you will come out on top in your first fight and get gold and experience so that you can stop by the merchant to buy some weapons.