Ethel has a disarming demeanor, often presenting herself as a sweet, jovial old lady, but her true nature is deeply malevolent. She takes great pleasure in torturing and murdering her victims, often recalling her past killings in vivid, disturbing detail. Despite her evil nature, Ethel retains full control over her emotions, making her one of the few sane psychopaths. Her cheerful exterior masks the cold, calculating killer within, always ready to indulge her sadistic tendencies.