On Mother's Day in 2019, her son Brady and Kristen DiMera welcomed their daughter Rachel Isabella DiMera Black, who was named after her and Kristen's mother: Rachel Blake, who was switched at birth by Xander Kiriakis, under orders by her great- grandfather Victor to spare his wife Maggie Horton the truth that she's responsible for the deaths of Adrienne Johnson and her granddaughter: the real Mackenzie Horton. Rachel later had developed cancer and needed a bone marrow transplant from Gabi Hernandez.