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As the youngest child of the Teryn and Teryna of Highever, Elthea Cousland had an upbringing befitting any child of noble stature. While her tutors were impressed with her quick wit and grasp of diplomacy, the Hero of Fereldan also excelled with the sword and shield. Although the Teryna didn't want her daughter learning such things, the girl begged and pleaded with her older brother to teach her what he'd learnt in his lessons, and was insistent enough that the Teryn relented and allowed her to be tutored alongside Ser Gilmore. The two became quick friends and close confidants, a friendship that carried on into adulthood.

In 9:30 Dragon, Arl Rendorn Howe's men attacked Castle Cousland while the troops were marching to Ostagar with her older brother. With the rest of her family murdered, Elthea promised her father she'd flee with Warden Commander Duncan and ensure the Cousland name lived on. However, her new place of belonging was short lived, as the Grey Wardens and King Cailan were betrayed at Ostagar and all but wiped out.

In her efforts to gather allies to fight back the Blight, Elthea was known for her persuasiveness and compassion when dealing with others, always willing to give in return for their assistance despite the treaties compelling them to help anyway.

Despite her misgivings, Thea agreed to Morrigan's ritual in order to protect Fereldan's king if she and Riordan were to fall before reaching the Archdemon.