Elizabeth arrives in August 1997 to stay with her grandmother,
Audrey Hardy (
Rachel Ames), and her sister, Sarah Webber (then
Jennifer Sky). She quickly develops a crush on Lucky Spencer (then Jonathan Jackson), but Lucky is interested in Sarah. On
Valentine's Day, Elizabeth is
raped and Lucky rescues her and helps her recover. Elizabeth fakes her death to help
Nikolas Cassadine (then
Coltin Scott) prove his loyalty to Helena, and Lucky's visions of Elizabeth help him stop Helena's control. In December, Elizabeth stops their wedding when she realizes Lucky has been unable to regain his love for her. They try to start over but struggle, and Elizabeth breaks up with him after she finds him kissing Sarah. Elizabeth is kidnapped and locked in a crypt, and
Zander Smith (
Chad Brannon) gets trapped with her. They set off a gas leak, and become intimate when they think they are going to die. Elizabeth tries dating Jason, but ends things when Jason lies to her. Elizabeth falls in love with
Ric Lansing (
Rick Hearst), and they marry after she gets pregnant. Elizabeth miscarries, which Ric blames on his brother,
Sonny Corinthos (
Maurice Benard). He kidnaps Sonny's wife,
Carly (then
Tamara Braun), and locks her in a panic room in an attempt to steal their unborn child. To maintain his secret, Ric begins drugging Elizabeth which results in a pulmonary embolism. Upon discovering Ric's crimes, Elizabeth divorces Ric. Elizabeth renews her friendship with Jason Morgan when Elizabeth's best friend and Jason's sister,
Emily Quartermaine (
Natalia Livingston) is on her death bed. Soon after she is struck by a car and loses her sight. After regaining her sight, she and Ric begin to make amends but she is uncertain of a future with him. Elizabeth has sex with her friend, Zander, who is mourning the end of his relationship with Emily. Soon after, Elizabeth learns she is pregnant, she and Ric reconcile; he agrees to raise the child and they remarry. Elizabeth divorces Ric again when she realizes he will not give up his obsession with Sonny. Zander dies in a police shootout. Elizabeth gives birth to a son named
Cameron and becomes a nurse. Elizabeth and Lucky help Nikolas and Emily evade Helena, and get back together. Their financial struggles prompt Elizabeth to become a
surrogate mother for
Courtney Matthews (
Alicia Leigh Willis) and
Jasper Jacks (
Ingo Rademacher), which upsets Lucky, but Elizabeth miscarries. They marry, but get in a train accident on their way to their honeymoon, and Lucky almost dies. When Lucky has a serious back injury while trying to save Elizabeth from
Manny Ruiz (
Robert LaSardo), he becomes addicted to
painkillers and has an affair with
Maxie Jones (
Kirsten Storms). Elizabeth walks in on them, and sleeps with Jason, becoming pregnant. When Lucky finds out, he assumes he's the father, and promises to get clean for their baby's sake. Elizabeth still divorces him, but Lucky tries to win her back after completing
rehab. The two eventually remarry before Elizabeth gives birth to
Jake Webber. When her relationship with Jason makes Lucky jealous, their marriage falls apart. Lucky finds out Jason is Jake's father, and he and Elizabeth file for divorce, but Lucky agrees to keep the secret about Jake's paternity to protect him. After Emily's death, Jason and Elizabeth begin a secret relationship, but Jason decides his life is too dangerous and ends things. Lucky and Elizabeth reconcile, but Elizabeth is also attracted to Nikolas. After she and Lucky get engaged, she starts having an affair with Nikolas. Lucky finds out, and ends his engagement with Elizabeth. On Valentine's Day, Lucky finds Elizabeth passed out from
hypothermia, and they learn she is pregnant. Elizabeth has to be talked down off the roof by Lucky, and is sent to Shadybrook
sanatorium. Helena switches the
DNA test results to say Nikolas is the father, and he and Elizabeth start to mend their friendship in time to welcome
Aiden Cassadine. Aiden is kidnapped by
Franco (
James Franco) before Lucky finds him. Elizabeth later suspects that Lucky could be Aiden's father, and she runs a DNA test that confirms it. Just as she finds out, though, Jake runs out of the house and gets hit by a car. Jake dies in the hospital, and Elizabeth is heartbroken. She does not share the truth for months, coping with her grief and wanting to let Lucky be happy with his new wife,
Siobhan McKenna (
Erin Chambers). When Lucky burns down the Spencer house and accidentally injures Siobhan, Elizabeth tells him the truth to stop him from drinking. Though Nikolas does not believe Elizabeth, he returns Aiden to her and Lucky, then leaves town. When Siobhan dies, Elizabeth attempts to reconcile with Lucky, but he refuses and leaves town. Elizabeth accompanies
Matt Hunter (
Jason Cook) to a boat party, where
Lisa Niles (
Brianna Brown) throws her overboard, but she is saved by Dr.
Ewen Keenan (
Nathin Butler). Elizabeth briefly dates Ewen, but he kidnaps Elizabeth and reveals he's working for
Jerry Jacks (
Sebastian Roche). Ewen dies after being shot by Jason, who was rescuing Elizabeth. Elizabeth attempts to reconcile with Jason, who is separated from his wife,
Sam (
Kelly Monaco), but Jason says they do not have a future together. Elizabeth interferes with Jason's efforts to find Sam's baby in an attempt to get him back, but later backs off and helps Jason and Sam reunite with their son,
Danny. Jason is presumed dead soon after. Meanwhile, Elizabeth helps student nurse
Sabrina Santiago (
Teresa Castillo) plan the resurrection of the Nurses' Ball. When
A.J. Quartermaine (
Sean Kanan) turns up in town, Elizabeth is initially hesitant of his return from the dead for Emily's sake, but the two eventually form a relationship and start dating until A.J. starts drinking again, and Elizabeth broke up with him. When Ric came back to town, he tried to reconcile with Elizabeth. The two dated until Ric was presumed dead. Elizabeth started taking care of an amnesiac patient who had facial reconstruction surgery after a car accident. He eventually starts calling himself Jake after Elizabeth tells him about her son, and the two bonded. With no memories and no family looking for "Jake", he has nowhere to go when he is released from the hospital. Elizabeth invites him to stay at her house. They begin to grow closer until Ric returns, alive. Elizabeth and Jake are still drawn to each other until
Hayden Barnes (
Rebecca Budig) comes to town, and claims "Jake" is her husband. Elizabeth walks away from "Jake" and resumes dating Ric. Hayden was actually hired by Ric to pretend to be "Jake's" wife. At the Nurses Ball, Carly outs Ric's lies, and Elizabeth breaks up with him. When Elizabeth realizes that she should be with "Jake", Nikolas reveals that "Jake" is actually Jason. At first, Elizabeth wants to tell the truth, but then decides to keep the secret and not tell "Jake" his real identity. She and "Jake" begin a relationship. Elizabeth and Jason's son, Jake, is found to be alive, they are reunited with their son with Lucky's help. Elizabeth feels torn about keeping the truth from Jason after they become engaged. On their wedding day, Jason learns his real identity. They don't get married, but decide to stay together and figure things out. Sam suspects that Elizabeth has known the truth about Jason's identity all along, and confronts her, then later shares her theory with Jason. When Jason confronts Elizabeth, she can no longer keep telling the lie and admits all to him. Unable to handle her deceit, Jason leaves Elizabeth, but they decide to parent Jake together. They become worried when Jake start exhibiting disturbing signs. When Elizabeth's house starts getting vandalized, Jason investigates with Sam's help, who points out to Jason that the vandalism could've been done by someone inside the house. Jason becomes suspicious of Elizabeth, but she insists she's not responsible. However, Jason later realizes that Jake was responsible, hoping his parents would get back together. When they try to get Jake help, he gets hit by a car again and is hospitalized. The doctors, though, are able to save him, and he recovers from his injuries. While dealing with losing Jason and Jake's behavior, Elizabeth is surprisingly helped by a reformed Franco (
Roger Howarth). He listens when Elizabeth is upset, and helps with Jake by providing art therapy. Elizabeth grows closer to Franco over time, and the two start dating. When Nikolas is presumed dead, Elizabeth blames his wife, Hayden, for driving Nikolas to desperate measures. She finds evidence to get Hayden arrested, but is pushed down the stairs during a hospital blackout soon after. Hayden is accused, but is later cleared when it's determined that Elizabeth was actually attacked by
Paul Hornsby (
Richard Burgi). Franco finds out that Hayden and Elizabeth are actually half-sisters, and reveals this to both girls. Though shocked, it does not thaw the animosity they both have for each other. When Tom Baker (Don Harvey), the man who raped her 18 years before, is released from prison. Franco is desperate to keep Tom away from Elizabeth. Despite her fear of Tom, Elizabeth asks Franco to stay away from Tom for her sake. However, Tom is found dead, and Franco is accused of murdering him. Franco and Elizabeth succeed in getting him exonerated, and focus on their relationship. Meanwhile, Elizabeth grows closer to Hayden when she is diagnosed with a deadly disease, and Elizabeth helps take care of her. Hayden recovers, and when Elizabeth figures out Hayden's boyfriend, Dr.
Hamilton Finn (
Michael Easton), is an addict, she shares her own experiences with Lucky to help Hayden out. ==Character development==