One of the most fundamental open problems in physics is the unification of general relativity and quantum theory to a theory of quantum gravity. An aspect that might become relevant in such a theory is that the dynamical nature of causal structure present in general relativity displays quantum uncertainty. This may lead to a phenomenon known as indefinite or quantum causal structure, as captured by the process matrix framework. Due to the generality of that framework, however, for many process matrices there is no clear physical interpretation. A popular approach towards a quantum theory of gravity is the Page-Wootters formalism, which associates to time a Hilbert space structure similar to spatial position. By explicitly introducing a quantum clock, it allows to describe time-evolution of systems via correlations between this clock and said systems encoded in history states. In this paper we combine the process matrix framework with a generalization of the Page-Wootters formalism in which one considers several observers, each with their own discrete quantum clock. We describe how to extract process matrices from scenarios involving such observers with quantum clocks, and analyze their properties. The description via a history state with multiple clocks imposes constraints on the physical implementation of process matrices and on the perspectives of the observers as described via causal reference frames. While it allows for describing scenarios where different definite causal orders are coherently controlled, we explain why certain non-causal processes might not be implementable within this setting.
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