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As Kristina will not survive long enough for the baby to be born, Alexis attempts to convince Sam to induce labor two weeks early.
When Sam refuses, afraid for her child, Alexis grows desperate, insulting and guilting her into giving in, a decision she quickly regrets when Sam collapses and ultimately loses the baby; however, Kristina nonetheless gets the stem cells she needs to survive.
During a fire at the Port Charles Hotel, Alexis reveals to Carly that Sonny is actually Kristina's father.
Alexis is left devastated by the murder of Chloe, but was comforted by Jax, who found her presumed dead sister Kristina Carter. Kristina claims her birthright and becomes a Cassadine Princess, despite Helena's plots to attempt to murder her. Alexis learns she is pregnant, but decides against telling Sonny, who has turned against Zander and is threatening his life.Stefan instructs Alexis to change her name to Davis and brings her to Port Charles to aid in the legal side of his vendetta against Luke Spencer, the husband of his former lover Laura Spencer.