It can denote one's title, or just be used as...a way to be polite, where I am from.

[Anduin honestly had thought she might be of noble birth, but perhaps that was because of her gown. Still, he sighed as he sat back at the lounge, trying to not worry his way through this encounter as he'd been doing throughout the night.]

Well, there's...hearthstones or...inventions the gnomes come up with, given how ingenious a people they are, but you're right. Not quite like this.