diff --git a/src/components/clinical-dashboard/medication-nav-header.tsx b/src/components/clinical-dashboard/medication-nav-header.tsx
index 6fa1ab6b4..40fe2fae4 100644
--- a/src/components/clinical-dashboard/medication-nav-header.tsx
+++ b/src/components/clinical-dashboard/medication-nav-header.tsx
@@ -177,7 +177,10 @@ export function MedicationNavHeader({
         if (isMedicationTabId(id)) onSelectTab(id);
       }}
       // Every slot carries a section count, so the four-slot band clips.
-      rail={{ label: "Medication sections", countedLabels: true }}
+      // `extended-counted`, named rather than inherited. Its four slots each
+      // carry an icon, a label and a count badge, so they need the wider bands
+      // this profile was calibrated for — not Therapy's wordmark bands.
+      rail={{ label: "Medication sections", density: "extended-counted", countedLabels: true }}
     />
   );
 }
diff --git a/src/components/in-page-nav/in-page-nav-header.tsx b/src/components/in-page-nav/in-page-nav-header.tsx
index cf03617e8..d234556aa 100644
--- a/src/components/in-page-nav/in-page-nav-header.tsx
+++ b/src/components/in-page-nav/in-page-nav-header.tsx
@@ -139,8 +139,12 @@ export type InPageNavHeaderProps =
        */
       rail?: {
         label: string;
-        /** Calibrated label family — moves only the band widths. */
-        density?: ModeNavDensityProfile;
+        /**
+         * Calibrated label family, moving only the band widths. Required: see
+         * the note on `InPageSectionRail`'s own `density` for why inheriting a
+         * default here shipped a regression.
+         */
+        density: ModeNavDensityProfile;
         /** `true` when every slot carries a count badge beside its label. */
         countedLabels?: boolean;
       };
diff --git a/src/components/in-page-nav/in-page-section-rail.tsx b/src/components/in-page-nav/in-page-section-rail.tsx
index d94bfcf59..1fef2e80f 100644
--- a/src/components/in-page-nav/in-page-section-rail.tsx
+++ b/src/components/in-page-nav/in-page-section-rail.tsx
@@ -35,7 +35,7 @@ export function InPageSectionRail({
   sectionSheetOpen,
   label,
   testIdPrefix,
-  density = "extended-counted",
+  density,
   countedLabels = false,
 }: {
   sections: readonly PageSection[];
@@ -50,8 +50,20 @@ export function InPageSectionRail({
    * Which calibrated label family this rail's labels belong to. It only moves
    * the container width at which each band becomes active — never the order,
    * and never which item folds first.
+   *
+   * Required, with no default, and that is the point. It used to default to
+   * `extended`, so medication's rail inherited Therapy's profile without ever
+   * naming it — invisible to `registryModeNavDensityProfiles`, which lists only
+   * the modes that render the top bar. Retuning `extended` for Therapy in
+   * PR #2686 therefore silently unfolded medication's counted labels early, and
+   * `ui-smoke`'s prescribing journey was the only thing that caught it.
+   *
+   * A default cannot be safe here: the value is a calibration against one
+   * label family's measured widths, so inheriting someone else's is always a
+   * guess. Making it required costs each call site one line and makes the
+   * consumer set answerable by `git grep "density:"`.
    */
-  density?: ModeNavDensityProfile;
+  density: ModeNavDensityProfile;
   /**
    * `true` when every slot carries a count badge beside its label, which needs
    * roughly a third more width per slot.
diff --git a/src/components/therapy-compass/pathway-step-stack.tsx b/src/components/therapy-compass/pathway-step-stack.tsx
index e0d75464e..15e801107 100644
--- a/src/components/therapy-compass/pathway-step-stack.tsx
+++ b/src/components/therapy-compass/pathway-step-stack.tsx
@@ -9,6 +9,7 @@ import { cn } from "@/components/ui-primitives";
 
 import type { Pathway, PathwayStep, Therapy } from "./data/types";
 import { pathwayLinkedStepCount } from "./pathway-review-label";
+import { StatusBadge } from "./ui";
 
 type PathwayStepStackProps = {
   steps: PathwayStep[];
@@ -61,6 +62,11 @@ function StepCard({
               <span className="inline-flex items-center rounded-md border border-[color:var(--border)] bg-[color:var(--surface-inset)] px-2 py-0.5 text-2xs font-bold tracking-eyebrow text-[color:var(--text-muted)]">
                 {roleLabel}
               </span>
+              {/* Only when the step resolves to a record. `description` falls
+                  back to that record's `bestUsedFor`, so a linked step quotes
+                  its clinical prose and owes its review state; an unlinked step
+                  names no record and has none to state. */}
+              {therapy ? <StatusBadge status={therapy.reviewStatus} size="compact" /> : null}
             </div>
             <p className="mt-1.5 mb-0 text-xs leading-normal text-[color:var(--text-muted)]">{description}</p>
           </div>
@@ -106,7 +112,10 @@ function StepCard({
           <Scale aria-hidden="true" size={17} strokeWidth={1.6} />
         </span>
         <div className="min-w-0 flex-1">
-          <div className="text-sm-minus font-semibold text-[color:var(--text-heading)]">{title}</div>
+          <div className="flex flex-wrap items-center gap-2">
+            <span className="text-sm-minus font-semibold text-[color:var(--text-heading)]">{title}</span>
+            {therapy ? <StatusBadge status={therapy.reviewStatus} size="compact" /> : null}
+          </div>
           <div className="mt-0.5 line-clamp-2 text-xs text-[color:var(--text-muted)]">{description}</div>
         </div>
         <span className="whitespace-nowrap text-3xs font-bold tracking-eyebrow text-[color:var(--text-muted)]">
diff --git a/src/components/therapy-compass/record/related-therapies.tsx b/src/components/therapy-compass/record/related-therapies.tsx
index bc628d07f..9da73a7f3 100644
--- a/src/components/therapy-compass/record/related-therapies.tsx
+++ b/src/components/therapy-compass/record/related-therapies.tsx
@@ -8,6 +8,7 @@ import { InteractiveRow } from "@/components/ui/interactive-row";
 
 import { cardPreviewText } from "../data/select";
 import type { RelatedTherapy } from "../data/related";
+import { StatusBadge } from "../ui";
 
 /**
  * Nearest neighbours, each carrying the reason it is here.
@@ -44,6 +45,14 @@ export function RelatedTherapies({ related, onOpen }: { related: RelatedTherapy[
                   <span className="rounded-full border border-[color:var(--clinical-accent-border)] bg-[color:var(--clinical-accent-soft)] px-2 py-px text-3xs font-semibold text-[color:var(--clinical-accent)]">
                     {reason}
                   </span>
+                  {/* The row prints a sentence of another record's clinical
+                      prose, so it owes that record's review state — the same
+                      obligation the card, detail, brief and sheet already meet.
+                      It matters more since the catalogue-wide notice went
+                      (PR #2686): the per-record badge is now the whole
+                      disclosure, and this listing was one of two surfaces
+                      quoting a record without it. */}
+                  <StatusBadge status={therapy.reviewStatus} size="compact" />
                 </span>
                 <span className="mt-1 line-clamp-2 block text-xs leading-5 text-[color:var(--text-muted)]">
                   {cardPreviewText(therapy.bestUsedFor ?? therapy.clinicalSummary, {
diff --git a/src/components/therapy-compass/ui.tsx b/src/components/therapy-compass/ui.tsx
index 8c41e6a68..5504362a0 100644
--- a/src/components/therapy-compass/ui.tsx
+++ b/src/components/therapy-compass/ui.tsx
@@ -1,7 +1,7 @@
 import type { ReactNode } from "react";
 import { ShieldCheck, TriangleAlert, type LucideIcon } from "lucide-react";
 
-import { Chip, type ChipAppearance } from "@/components/ui/chip";
+import { Chip, type ChipAppearance, type ChipSize } from "@/components/ui/chip";
 import { missingValuePhrase } from "@/components/ui/missing-value";
 import { cn, EmptyState as SharedEmptyState, LoadingPanel } from "@/components/ui-primitives";
 
@@ -86,12 +86,12 @@ export function TagRow({
 
 // ---- review status badge ------------------------------------------------
 
-export function StatusBadge({ status }: { status: string }) {
+export function StatusBadge({ status, size = "standard" }: { status: string; size?: ChipSize }) {
   const meta = reviewStatusMeta(status);
   const tone = meta.tone === "success" ? "success" : meta.tone === "warning" ? "warning" : "neutral";
   const Icon = meta.tone === "success" ? ShieldCheck : TriangleAlert;
   return (
-    <Chip size="standard" appearance={{ kind: "status", tone }} icon={Icon}>
+    <Chip size={size} appearance={{ kind: "status", tone }} icon={Icon}>
       {meta.label}
     </Chip>
   );
diff --git a/tests/in-page-nav-header.dom.test.tsx b/tests/in-page-nav-header.dom.test.tsx
index 1add79845..c36c98622 100644
--- a/tests/in-page-nav-header.dom.test.tsx
+++ b/tests/in-page-nav-header.dom.test.tsx
@@ -149,7 +149,7 @@ describe("InPageNavHeader", () => {
   });
 
   it("keeps a phone gap between the action row and the section rail", () => {
-    renderHeader({ rail: { label: "Service sections" } });
+    renderHeader({ rail: { label: "Service sections", density: "balanced-four" } });
     expect(screen.getByTestId("service-section-rail")).toHaveClass("mt-2");
   });
 
@@ -201,7 +201,7 @@ describe("InPageNavHeader", () => {
     // closes after the viewport crosses `sm` must not restore to a display:none
     // button (focus then falls to the page body).
     const user = userEvent.setup();
-    renderHeader({ rail: { label: "Service sections" } });
+    renderHeader({ rail: { label: "Service sections", density: "balanced-four" } });
     const trigger = screen.getByTestId("service-section-trigger");
 
     await user.click(trigger);
diff --git a/tests/mode-nav-contract.test.ts b/tests/mode-nav-contract.test.ts
index aa64e9a79..80be3c4da 100644
--- a/tests/mode-nav-contract.test.ts
+++ b/tests/mode-nav-contract.test.ts
@@ -207,6 +207,32 @@ describe("ModeNav item contract", () => {
   });
 });
 
+describe("ModeNav density is chosen, never inherited", () => {
+  const railSource = read("src/components/in-page-nav/in-page-section-rail.tsx");
+  const headerSource = read("src/components/in-page-nav/in-page-nav-header.tsx");
+
+  it("requires every rail to name its own density profile", () => {
+    // `density` defaulted to a profile, so medication's rail inherited
+    // Therapy's without naming it. `registryModeNavDensityProfiles` lists only
+    // the modes that render the top bar, so the coupling was invisible there,
+    // and retuning `extended` for Therapy in PR #2686 unfolded medication's
+    // counted labels early. A default cannot be safe: the value is calibrated
+    // against one label family's measured widths.
+    expect(railSource).not.toMatch(/density\s*=\s*"/);
+    expect(railSource).toMatch(/^\s*density: ModeNavDensityProfile;/m);
+    expect(headerSource).toMatch(/^\s*density: ModeNavDensityProfile;/m);
+  });
+
+  it("keeps every rail call site naming a profile, so the consumer set is greppable", () => {
+    for (const path of [
+      "src/components/clinical-dashboard/medication-nav-header.tsx",
+      "src/components/therapy-compass/therapy-record-nav-header.tsx",
+    ]) {
+      expect(read(path), `${path} must name its density profile`).toMatch(/density: "/);
+    }
+  });
+});
+
 describe("ModeNav overflow slot", () => {
   const moreSlot = modeNavSource.slice(
     modeNavSource.indexOf("plan.moreUntil !== null ? ("),
diff --git a/tests/therapy-review-regressions.test.ts b/tests/therapy-review-regressions.test.ts
index 134ac85ce..2f3368319 100644
--- a/tests/therapy-review-regressions.test.ts
+++ b/tests/therapy-review-regressions.test.ts
@@ -80,6 +80,14 @@ describe("Therapy review regression contracts", () => {
       "src/components/therapy-compass/screens/sheets-screen.tsx",
       "src/components/therapy-compass/screens/compare-screen.tsx",
       "src/components/therapy-compass/screens/pathways-screen.tsx",
+      // The two secondary listings. Both quote another record's clinical prose
+      // (`bestUsedFor` / `clinicalSummary`) beside its name, and both shipped
+      // without its review state — the gap the 2026-09-02 audit recorded under
+      // L03c. Harmless while a catalogue-wide notice also stated the caveat;
+      // load-bearing once PR #2686 removed it and left the per-record badge as
+      // the whole disclosure.
+      "src/components/therapy-compass/record/related-therapies.tsx",
+      "src/components/therapy-compass/pathway-step-stack.tsx",
     ]) {
       expect(source(path), `${path} must still surface reviewStatus`).toContain("reviewStatus");
     }