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.