Elena is the granddaughter of a witch doctor whose sole purpose is to rid individuals of demonic possession. When the demon Helga began operating as a spirit, possessing individuals in San Martin soon after the dual onslaught of Vladimir and the Manananggal. When Elena's grandmother, exorcises the spirit, she buries it in their backyard, warning Elena not to let the light in the candle go out, or to feed the demon. Elena however fails to meet some of her grandmother's other wishes which leads to her grandmother hitting her on her head, enough to cause her to bleed. The spirit attempts to tempt Elena by offering her protection from her grandmother and strength, but Elena resists. As Elena attempted to bury the demon deeper, blood from her bleeding forehead seeped onto the ground wherein Helga reveals herself to Elena.
Later on, she reveals herself to Elena's grandmother and outlines her plans, attacking her in the process. Now residing in the body of Elena, Elena's misshapen features are considerably lessened.