At General Hospital, Ryan bumped into Felicia who didn't recognize him. The two began to date, and Ryan took her to a cabin, hoping to elope with her. Soon, Felicia's memories returned and she quickly realized she was in danger. Felicia attempted to flee, however, Ryan realized that her memories came back. He attacked her, but she stabbed him and escaped.

Ryan made it look like Felicia attacked him, so she was sentenced to a psychiatric facility. Mac Scorpio (John J. York) and Sean Donely (John Reilly) convinced the DA to help fake Felicia's death in order to trap Ryan. Ryan fell for it, and Felicia began to "haunt" him as a ghost. A freaked-out Ryan confessed to what he'd done, and Felicia recorded him admitting to killing his mother, as well as several other women. Ryan figured out Felicia was alive and conning him, so he chased her to a morgue where Mac intervened. 

When Ryan later kidnapped Maxie, Felicia showed up and he grabbed her. But she forced herself free from his grasp causing him to fall off a cliff. He survived, and Maxie had been found by the police. A captive Ryan snuck in and out of the hospital, at one point killing the district attorney who helped fake Felicia's death. He eventually confessed to that, as well as other murders, admitting the victims were all like his mother.