Elizabeth Hale is the mother of Claire Underwood. She never liked that Claire married Frank Underwood, as she considered him classless. Even when he became President of the United States, making Claire the First Lady, her opinion on him did not change.

Shortly before the DNC, Elizabeth's health worsens severely, resulting Claire and Tom Yates to pay her a visit, although originally thought of as an escape from tensions with Frank. Throughout the visit, Elizabeth's cancer progresses to a point, where she want to peacefully pass away in a voluntary euthanasia. She was later a central figure in Claire's emotional DNC speech.