Lily Piper is Kathleen's daughter. However, since Kathleen was unwed at the time of Lily's birth, she is passed off as James and Materia's daughter. She resembles Kathleen in her physical appearance, aside from her withered leg. She is a sweet and trusting child who becomes the new family favorite.
Her appearance in the novel is marked by tragedy because Kathleen dies soon after giving birth to Lily and her twin brother Ambrose. Frances takes it upon herself to baptize Lily, nearly drowning her in the process. It is the near-drowning experience that brings on Lily's bout of polio which leaves her crippled, forcing her to use a iron brace on her leg and special boots in order to walk.