I see the Midheaven as your reputation. Essentially, it's what people who don't know you know about you (from gossip or praises). In predictive astrology, it can be a great tool to see what type of career or general lifestyle the client is destined to live.
⭐️ Aries Midheaven: You are seen as bold, confident, hot-headed, and fearless. You do things your way. People might say that you are reckless in love or in how you manage your career. This MC indicates someone who will go to the top faster than most people. Your actions and your drive will have a significant impact on your life. Look at the sign, house position, and the aspects to Mars to have more information about your reputation.
⭐️ Taurus Midheaven: You are seen as calm, elegant, and somewhat of an epicurean. Your excellent taste is part of your reputation, which means that you might do something artistic or work in a field related to beauty. You could be seen as a foodie too. This MC also shows that your career, lifestyle, and relationships all have to do with wealth. Look at the sign, house position, and the aspects to Venus to have more information about your reputation.
⭐️ Gemini Midheaven: You are seen as intelligent, chatty, and multifaceted. You are known as the one who knows all the tea about everybody. You mingle easily and have a lot of acquaintances. Your life is never dull and ever-changing. Your career might have to do with words (writer, journalist). Look at the sign, house position, and the aspects of Mercury to have more information about your reputation.
⭐️ Cancer Midheaven: You are seen as caring, reserved, and prudent. Somehow your family is part of your reputation. You have a small circle of friends and prefer to spend time with the people you know than to go around and mingle with strangers. Look at the sign, house position, and the aspects to the Moon to have more information about your reputation.
⭐️ Leo Midheaven: You are seen as fun, proud, and warm. You are very popular, and people love to gossip about your life. You might do something creative for a living or have a place in the public eye. Your partners might be high-profile. Look at the sign, house position, and the aspects to the Sun to have more information about your reputation.
⭐️ Virgo Midheaven: You are seen as intelligent, shy, and neat. You are the type of person who always looks put together. Your entire life seems to be put together. You are seen as an achiever and as someone who does things by the book. Look at the sign, house position, and the aspects to Mercury to have more information about your reputation.
⭐️ Libra Midheaven: You are seen as charming, stylish, and fair. Your relationships (friendships and love affairs) make a big part of your reputation. You might work as a counselor, in the beauty/fashion industry, or as a lawyer. Your good manners are something people love about you. Look at the sign, house position, and the aspects to Venus to have more information about your reputation.
⭐️ Scorpio Midheaven: You are seen as mysterious, sexy, and powerful. There's always something important going on in your life. People talk about you because there's so much mystery around you. You are very magnetic and draw people in. You might have experienced life-changing events in your life or might have been in intense relationships. Look at the sign, house position, and the aspects to Mars and Pluto to have more information about your reputation.
⭐️ Sagittarius Midheaven: You are seen as optimistic, funny, and as an adventurer. Your life is full of fascinating stories. You are not dull and cannot stay in one place. People know you from all over the world. Look at the sign, house position, and the aspects to Jupiter to have more information about your reputation.
⭐️ Capricorn Midheaven: You are seen as mature, responsible, and goal-oriented. People admire you for your tenacity and for the fact that you have built the life of your dreams with patience and determination. You could reach a high position at your job or date someone with high status. Look at the sign, house position, and the aspects to Saturn to have more information about your reputation.
⭐️ Aquarius Midheaven: You are seen as unique, independent, and as a visionary. People know that you are very different. You might have an unusual career and love life. You have a lot of unique characteristics that make you stand out. People probably gossip about your life because it is very different from the traditional path most people take. Look at the sign, house position, and the aspects to Uranus and Saturn to have more information about your reputation.
⭐️ Pisces Midheaven: You are seen as sweet, naive, and mysterious. People cannot pin you down. You are like a mythical creature in their eyes, and you might have a strange career or love life. There's a lot of confusion in regards to what you do. Look at the sign, house position, and the aspects to Neptune and Jupiter to have more information about your reputation.
🌈✨ The planets conjunct your MC, in the 10th house, or aspecting the MC affects how people perceive you. Same thing for trines, sextiles, and squares to the Ascendant and the Descendant.