On June 17, 1985, Randy Savage debuted in the World Wrestling Federation. At that time, the WWF featured an angle in which all the managers in the promotion competed to offer their services to Macho Man Randy Savage. During a match on July 30, 1985 in Poughkeepsie, New York, several managers were at ringside in hopes that he would name one of them as his new manager. After the match, Savage thanked the managers for their consideration and then asked that his new manager come to ringside. An attractive, unnamed woman then came down to the ring. It was later revealed that her name was Miss Elizabeth. Elizabeth's WWF debut was taped on July 30, 1985 and aired on the August 24, 1985 edition of WWF Prime Time Wrestling. From that point on, she was the manager of Randy Savage. On February 8, 1986, she was in Savage's corner as he defeated Tito Santana for the Intercontinental Heavyweight Title.
Miss Elizabeth's first major angle was during Savage's feud with George "The Animal" Steele in 1986. In the angle, Steele fell in love with Elizabeth, angering Savage and leading to a series of grudge matches between him and Steele. Their feud was one of the WWF's most popular of the 1980's; it carried on for more than a year, thanks to the feral Steele's continued innocent crush on Elizabeth.
After injuring Ricky Steamboat's larynx, Savage lost his Intercontinental Heavyweight Title to Steamboat at WrestleMania III on March 29, 1987. Steamboat later lost the title to The Honky Tonk Man. Honky's insistence that he was "the greatest Intercontinental Heavyweight Champion of all time" instigated a challenge from Savage, the former champion. In their match, which aired on Saturday Night's Main Event XII, Honky shoved Elizabeth to the mat before assaulting Savage with a guitar. Elizabeth ran backstage and persuaded Hulk Hogan to rescue Savage. Savage and Hogan formed The Mega Powers, running off Honky and his allies, Bret "The Hitman" Hart and Jim "The Anvil" Neidhart.
Throughout the Savage-Honky feud, a key point was Honky's claim that Elizabeth secretly wanted him more than Savage. In several of their matches, Honky would try to corner Elizabeth, although Savage would always beat him back. In other Savage-Honky matches, a woman named Peggy Sue (usually Sherri Martel, or a dressed-up Jimmy "Mouth of the South" Hart) would harass Elizabeth at ringside, creating an advantage for Honky. At the 1987 Slammy Awards, Honky named Elizabeth "Woman of the Year," but the honor was only to harass her and anger Savage; Savage quickly ran Honky off.
The year 1988 was a pivotal one for Randy Savage and Miss Elizabeth. Hulk Hogan, who had been the champion and the foundation upon which the WWF's popularity was built, lost the WWF World Heavyweight Championship in a match against André the Giant. André then sold the belt to the "Million Dollar Man" Ted DiBiase due to an arrangement that they had prior to the match. President Jack Tunney declared that the title cannot be forfeited to another individual. A tournament was held at WrestleMania IV to declare a new champion, which Macho Man Randy Savage won, pinning DiBiase (with Hogan's help) in the finals.
At the first ever SummerSlam, The Mega Powers teamed up against André the Giant and Ted DiBiase (The Mega Bucks) with Jesse "The Body" Ventura as the special guest referee. Most of the pre-match build-up centered on Elizabeth, who by this time was at the peak of her popularity. The tease for the match was that if things got bad, Elizabeth, billed as the secret weapon of The Mega Powers, was going to wear sexy red panties under her fancy clothes. Towards the end of match, André and DiBiase were in control, so Elizabeth got up on the apron and ripped her skirt off to reveal her panties which distracted André, DiBiase and Ventura, giving Savage and Hogan time to recover after being knocked out of the ring.
Elizabeth became the catalyst in the uneasy – and ultimate breakup of – the Savage–Hogan relationship, particularly due to Hogan's overfriendly, overprotective attitude toward Elizabeth. At his behest, Elizabeth accompanied Hogan to ringside for several matches during the fall of 1988, including matches against King Haku, Akeem, and Bad News Brown that aired on Saturday Night's Main Event XVII. In the match against Akeem, Elizabeth's safety was endangered by Akeem and his allies, Slick and Akeem's tag team partner, The Big Boss Man (who wrestled together as The Twin Towers) when they began stalking Elizabeth. During a climatic point in the match where Hogan was being brutally beaten by Akeem, Big Boss Man grabbed Elizabeth and placed her in handcuffs, stopped only when Savage ran out to make the save; although he checked on Elizabeth's well-being, Savage appeared to be unconcerned about Hogan.
Concurrent with the Mega Powers' feud with the Twin Towers was Savage's feud with Bad News Brown. That feud started when Brown, during a guest appearance on The Brother Love Show talk segment, alleged that Elizabeth was "doing favors" for WWF President Jack Tunney (implying she wanted to protect Savage and his WWF World Heavyweight Championship reign from Brown). Savage quickly got revenge against Brown.
The tension between Hogan and Savage continued to build at the 1989 Royal Rumble, when Hogan "accidentally" eliminated Savage. A hot Savage then confronted Hogan in the ring, causing Elizabeth to rush to the ring to play the role of peacemaker. After the match was over, Jesse Ventura interviewed Savage and claimed he could see problems between The Mega Powers, something Savage unconvincingly denied.
Meanwhile, tension continued to build within the Mega Powers, and on The Main Event II, aired live on February 3, 1989, Savage could no longer contain his growing anger toward Hogan. The sequence of events began when Akeem threw Savage onto Elizabeth, who was knocked unconscious from the force of the blow. Hogan immediately ran to Elizabeth's aid and, distraught and fearing the worst, carried her to the backstage area for medical attention; the match continued in the meantime, with Akeem and Big Boss Man working Savage over. Elizabeth eventually regained consciousness and asked Hogan to return to the ring. However, Savage, furious over being left to take a beating, slapped Hogan in the face and, after having some choice words, left him to face the Twin Towers alone. (Hogan eventually won the match single handed). Following the match backstage, Savage and Hogan had a loud verbal argument while Elizabeth was receiving medical attention, which culminated with Savage blindsiding Hogan with the championship belt and beating him.
In the buildup to the Hogan-Savage main event match at WrestleMania V, Savage appeared in a series of televised promos accusing Hogan of "lusting after Elizabeth" with video footage of past incidents, edited in a context to push Hogan as a jealous, sore heel. Hogan responded by defending his behavior (with more complete footage from the same incidents, to push him as the face). After weeks of speculation as to whose corner she would stand in at WrestleMania V, Elizabeth announced she would stand in a "neutral" corner. During the Hogan-Savage match, Elizabeth got in the way of both wrestlers several times and was eventually sent from ringside; Hogan went on to win Savage's WWF World Heavyweight Championship.
Following WrestleMania V, Savage replaced Miss Elizabeth in favor of Sensational Sherri.
For the remainder of 1989, Elizabeth's appearances were very sporadic. She continued to mainly appear on the house show circuit managing Hulk Hogan in his matches with Randy Savage from April through October 1989. Elizabeth appeared at the 1989 SummerSlam, managing Hogan and Brutus Beefcake as they headlined the show against Savage and Zeus (who appeared with Sensational Sherri); Elizabeth, who rarely became physical with other wrestlers beforehand, tripped Sherri during a critical point in the match. Elizabeth also briefly co-hosted WWF Wrestling Spotlight with Vince McMahon. Savage remained a heel for many more months, eventually dubbing himself "The Macho King" after defeating "Hacksaw" Jim Duggan for the WWF's King of the Ring moniker in August of 1989. Elizabeth closed out 1989 managing Jim Duggan in his matches against Randy Savage and appearing on the Brother Love Show during house shows with Sherri Martel in November and December 1989.
After Savage and Sherri began a heated feud with "The American Dream" Dusty Rhodes and Sapphire near the end of 1989, Miss Elizabeth joined forces with Rhodes and Sapphire at WrestleMania VI, where the two couples were engaged in the WWF's first mixed tag-team match. When Sherri attempted to help Savage double-team Rhodes, Miss Elizabeth grabbed Sherri by the hair. While the two women faced off, Sapphire took advantage of the situation, kneeling down behind Sherri just as Miss Elizabeth pushed her. Sherri lost her balance and gave Sapphire enough advantage to pin Sherri for the win. Elizabeth continued to appear on the house show circuit with Dusty Rhodes and Sapphire from May 1990 through August 1990 in mixed tag team matches against Randy Savage and Sherri Martel. From June through August 1990, Randy and Sherri had Brother Love in their corner to counter-act Elizabeth.
Miss Elizabeth disappeared from WWF television until March 24, 1991 at WrestleMania VII, when Savage lost a retirement match to The Ultimate Warrior. Upon his loss, Sherri began beating and kicking the defeated Savage until Elizabeth, who was sitting at ringside, entered the ring and defended Savage. Elizabeth grabbed Sherri by the hair and threw her out of the ring, reuniting Savage and Elizabeth. Macho Man punctuated the reunion by holding down the ropes for Elizabeth after years of her doing it for him.
On June 17, 1991, during the taping of WWF Superstars of Wrestling in an in-ring segment with Gene Okerlund announcing, "Macho Man" Randy Savage proposed to Miss Elizabeth, which she accepted. The couple then held a heavily promoted on-air wedding billed as "The Match Made in Heaven" on August 26, 1991 at SummerSlam 1991. At the wedding reception, Elizabeth opened a gift package containing a live snake, which frightened her; newly-turned-heel Jake "The Snake" Roberts and The Undertaker crashed the reception and attacked Savage. This started a feud between Roberts and Savage, where Elizabeth quickly figured prominently. The first high-profile Savage-Roberts match was on December 3, 1991 at the Tuesday in Texas pay-per-view event, where, after Savage gained a pinfall victory, Roberts beat down Savage, then forced Elizabeth to beg him to stop the beating. Apparently dissatisfied with her begging, Roberts grabbed her by the hair and slapped her across her face. On the February 8, 1992 Saturday Night's Main Event XXX, Roberts, with a steel chair in tow, was waiting in the backstage area for Elizabeth and Savage to come through the curtain after a match. Roberts was about to strike Elizabeth with the chair, but Undertaker stopped him. This started Undertaker's feud with his former ally.
In her final WWF angle, WWF World Heavyweight Champion Ric Flair bragged that he dated Elizabeth before Savage met her. Flair's tagline was, "She was mine before she was yours." He showed photos of himself with Elizabeth in casual situations, which were later printed in an issue of WWF Magazine. It was later revealed that the photos were in fact pictures of Savage and Elizabeth, which Flair had doctored. Flair, with Mr. Perfect as his "executive consultant", said that they were going to show a nude photo of Elizabeth on the screen at WrestleMania VIII, although this did not occur. Nonetheless, Flair's claims set up his WrestleMania VIII match with Savage. During the match on April 5, 1992, Elizabeth made her way to ringside, against the wishes of WWF officials. After Savage pinned Flair to win the WWF World Heavyweight Championship, an angry Flair cornered Elizabeth and began to kiss her; Elizabeth slapped Flair away, and Savage began beating Flair until ring officials broke the two up. Elizabeth's final WWF appearance took place at UK Rampage on April 19, 1992 during an overseas tour of England; in that match, Savage pinned Shawn Michaels after Elizabeth, who had earlier been sent backstage, returned to prevent Sherri's interference on Michaels' behalf. Until the Savage-Michaels match from England was aired on WWF Prime Time Wrestling in June; the publication of the actual Savage-Elizabeth photos in WWF Magazine came at about that same time.
On January 23, 1996, Miss Elizabeth returned to wrestling in World Championship Wrestling (WCW) as the manager for Randy Savage and Hulk Hogan at Clash of the Champions XXXII. Only three weeks later, on February 11, 1996, Elizabeth turned on Randy Savage by helping Ric Flair defeat him at SuperBrawl VI and then became Flair's co-manager in the Four Horsemen along with Woman.
In September 1996, Elizabeth joined the New World Order (nWo) alongside Hulk Hogan, but seemed to still care deeply for her ex-husband, and eventually joined his side when he too joined the nWo in February 1997. During much of 1997, Randy Savage and Elizabeth feuded with Diamond Dallas Page and Kimberly Page. In June 1998, she parted ways with Savage once again by joining Black and White nWo: nWo Hollywood. Then, she accompanied Eric Bischoff on his way to the ring for the next few months, and derided Savage. Savage coldly reminded her that he "got over her a long time ago" and didn't need her.
On the January 4, 1999 episode of Nitro, Elizabeth was seen talking to police detectives. According to the storyline, she claimed that Bill Goldberg was stalking her and that he even accosted her by the water cooler. She then filed charges against Goldberg. Goldberg was arrested later that night for aggravated stalking and taken into custody by police. However, later that night, Elizabeth admitted that she was lying. As it turned out, Elizabeth was a pawn for the nWo so that Goldberg would be unable to have his scheduled title match with Kevin Nash later that night. Due to Goldberg's apparent absence, the returning Hulk Hogan took Goldberg's title shot in the match.
Soon after, Elizabeth accompanied Lex Luger. Lex Luger, who was accompanied by Elizabeth at this time to ringside for single matches, was supposed to get ready for the tag team match against Konnan and Rey Mysterio Jr. with Miss Elizabeth's hair on the line and Rey Mysterio Jr.'s mask on the line at SuperBrawl IX with Kevin Nash as his tag team partner. However, on the February 18, 1999 edition of WCW Thunder, in Salt Lake City, Utah, a limo pulled up and was driving alongside Rey Mysterio Jr. with Lex Luger and Elizabeth inside. As Elizabeth and Lex Luger were getting out of the limo, Rey Mysterio Jr. grabbed the door and slammed it into Lex Luger's biceps, injuring him in the process. Lex Luger was immediately replaced by Scott Hall as Kevin Nash's tag team partner for the tag team match at Superbrawl IX.
After Lex Luger recovered from his biceps injury, Elizabeth would make her return to WCW programming on the September 27, 1999 edition of WCW Monday Nitro. Towards the end of 1999, Elizabeth became much more physically involved in the action than she had ever been. Her new vicious side would be ever so apparent at Starrcade 1999, when she struck Sting with his own baseball bat.
In February 2000, Elizabeth managed the short-lived partnership between Lex Luger and Ric Flair. The three of them were known as Team Package. Shortly thereafter, Team Package went their separate ways as they fought various members of The New Blood.
Elizabeth engaged in short-lived feuds with Vince Russo and Kimberly Page. On May 8, 2000, Elizabeth wrestled in her first official match against Daffney. Elizabeth worked with Kimberly Page for the remainder of May 2000.
Elizabeth's final WCW appearance was on the May 29, 2000 edition of WCW Monday Nitro and Elizabeth quietly left World Championship Wrestling on August 17, 2000, when her contract expired.
On May 1, 2003, Elizabeth passed away.