DC transformers based on power electronics are key items of equipment for medium voltage dc (MVDC) distribution systems. Both high and low step-ratio dc-dc conversions are required to interface dc links at different voltages to form an integrated dc distribution system. The transformer-coupled resonant modular multilevel dc-dc converter (RMMC) is wellsuited to high step-ratio connection between a MVDC network and a low voltage dc (LVDC) network but it is not suitable in low stepratio conversion for linking two MVDC networks with similar but not identical voltages. This paper presents a circuit evolution of the high step-ratio transformer-coupled RMMC into its low step-ratio transformer-less RMMC counterpart. These two RMMCs share the same structure and the same resonant process within the resonant SM stack (RSS) giving rise to the same operational advantages. Also, the circuit design experience can be readily transferred from one to the other. From these two base RMMC circuits, a family of RMMCs with further configurations is elaborated that provide a wider variety of connection options for MVDC distribution systems. In this circuit family, each high step-ratio transformer-coupled RMMC has a low step-ratio transformer-less RMMC counterpart and one can be transformed into the other via the circuit evolution process presented. The theoretical analysis for both high and low stepratio RMMCs has been verified through full-scale simulations of medium voltage examples and further verified through downscaled experiments on laboratory prototypes.