Elizabeth and Lucky help Nikolas and Emily Quartermaine (Natalia Livingston) 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 & 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 & Elizabeth start to mend their friendship in time to welcome Aiden Cassadine. Aiden is kidnapped by Franco (James Franco) before Lucky finds him.