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On August 5, 2016, after finding out everything Julian had done including murdering Carlos and trying to murder her mother, Sam disowned Julian.
It was revealed that Julian was forced to do everything mob related that he did by his not so dead sister, Olivia Jerome.
It was eventually proven that Jason and "Patient 6" are identical twins.
On December 1, 2017, it was revealed that the man everyone thought was Jason, was actually his twin brother, Drew.
Both men believe they're the father, and insist on her returning and taking a paternity test.
Initally Jason was going to divorce Sam and marry Elizabeth, but he broke up with Elizabeth due to her lies.
Jason and Sonny tell Sam that Jason tampered with the test, and the child is Sonny's.
Sam agrees to tell everyone that Jason is the father so that Sonny and Carly can be together.
After Sam found out that Julian had been lying to her (as he was pretending to be someone he wasn't), she wouldn't give him a chance at a relationship but they developed a pretty a good relationship.
She also has a good relationship with her brothers.