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In 2019, after the release of the [[Hell Ghosts]] upon the world, Rowena chose to sacrifice herself to save the world by using her own body to imprison all of the souls and demons and cast them back into Hell. At Rowena's request, and with great reluctance, Sam was indeed the one who fatally stabbed Rowena. Everyone around her watched as she imprisoned the damned souls into her body and fell through the fissure into Hell as it closed.
When the Winchesters and Castiel return to Hell in search of [[Michael]], they discover that Rowena's [[soul]] took up the empty position of Queen of Hell. Retaining her old personality, Rowena aids the Winchesters once again and even urges Dean and Castiel to mend their broken relationship.
===[[15.08 Our Father, Who Aren't in Heaven]]===
:''"Samuel, please. You killing me was one of the best things that ever happened. Yes, there are things I miss about being alive, flesh-on-flesh sex, Amazon doesn't deliver here 'yet', but lads, I'm Queen. My subjects revere me, well 'fear me' which is better. I should have died a long time ago."''
The Winchesters and [[Castiel]] use a spell from one of [[Rowena's Spellbooks]] to enter [[Hell]] in search of [[Michael]]. As the three fight with [[demons]], they are shocked when Rowena interrupts them. Rowena explains that following her death, she was able to seize control of Hell for herself and has now become the new Queen of Hell. Though she knows Michael may not be in Hell anymore, Rowena directs her demons to search for the [[archangel]] and talks to the trio in her throne room. She talks about how the demons fear her and despite the things she misses in being alive, she absolves Sam for killing her, assuring him that dying was one of the best things that happened to her. Noticing tension between Dean and Castiel, Rowena, noting her own long list of regrets from life, urges the two to make amends. Later, a demon brings word that Michael is no longer in Hell and the Winchesters take their leave.
===[[15.13 Destiny's Child]]===
Sam and Dean journey to Hell in search of [[the Occultum]]. Upon arriving they are met by a demon, and ask to see Rowena, whom the demon reveals is giving orientation to all the newly damned [[souls]], a fact the demon does not seem so enthused about, before telling Sam and Dean he'll take them to her. However it turns out to be a ruse set up by [[Sister Jo]] in exchange for releasing them from Hell. As a result, Sam and Dean kill the demons and leave Hell.