On May 4, 2007, Elizabeth goes into labor and passes out while trying to call for help. Jason, who stopped by to check on Elizabeth, takes her to General Hospital. Her son is delivered via emergency C-section, and although he wasn't breathing when he was born luckily he and his mom are saved. Jason spends some time with his son while waiting for Elizabeth to wake up before Lucky arrives. While the two bond as a family with Jake, Elizabeth goes into a coma. She doesn't wake up for awhile. Jason had a request from Elizabeth that if something happened to her, Jason would tell Lucky the truth. Lucky for Jason, just as he's about to tell Lucky that he himself is the father, Elizabeth wakes up. Elizabeth names her baby Jacob Martin. Both she and Lucky agree to name their friends, Nikolas Cassadine and Emily Quartermaine as godparents. She tells Lucky, Nikolas, and Emily that the reason she chose the name was because she always liked the name Jake, and Martin was to honor her late maternal grandfather. When Jason visits her and Jake, she tells him the other reason for the name—she gave her son Jason's initials as a part of his name. Jason is honored and happy that she and Jake are safe.
Sam eventually finds out the truth about Jake and is devastated. She wanted to have Jason's child, but found out she was infertile due to a gunshot wound she sustained when someone tried to kill Jason. When Maureen Harper kidnaps Jake in the park while Elizabeth has her back turned, Sam watches the kidnapping and says nothing. Jason, under arrest for murdering Lorenzo Alcazar, quickly gets himself out of jail to go and find his son. He gets the help of Amelia Joffee, who made several calls to Maureen and heard a baby crying. She became suspicious, as Maureen's newborn daughter died a few months before in a house fire. Jason and Amelia track down Maureen and find Jake with her. Maureen hands the baby over, and reveals that Sam saw the kidnapping happen. This causes Sam and Jason to break up.
Lucky and Elizabeth end up divorcing when Jason reveals that he is Jake's father at the Black and White Ball. Later on, Lucky agrees to let everyone believe he is Jake's father to keep him safe, to both Elizabeth and Jason's satisfaction. In December 2008, the Russian mob threatens Jason. This leads to him sending Elizabeth with Jake and her other son, Cameron, up to the mountains in a remote cabin with Sam to hide out. The Russian mob, however, finds them, and Sam and Liz hold them off, but Jake ends up getting kidnapped. Jason eventually shows up, and he and Sam give chase to the Russians to find Jake. They corner them in a warehouse, but it catches fire. Luckily, Sam jumped out of a window with Jake right before it blew up. They bring Jake back to Elizabeth and Lucky, and Jason decides to leave parenting Jake to Elizabeth and Lucky to keep him safe, breaking up with Liz in the process.
In September 2009, Port Charles hosts a carnival at GH. A reconciled Liz and Lucky bring Cameron and Jake along, while Jason and Sam are on a date, bringing them together again. Jake runs away from Elizabeth just before Jake's great-grandfather, Edward Quartermaine, drives his car through the carnival, unconscious at the wheel. His car collapses the tent Jake went into, and Jason, Elizabeth, Sam, and Lucky rummage through the debris and are able to find Jake, who is rushed into the hospital with a suspected concussion.[17] Luckily, the doctor gives a clean bill of health, and Jake goes home with his family in good condition.
On March 17-18, 2011, Jake is hit by a car in a hit and run. He is declared brain dead and is put on life support. After Carly Jacks learns of this, she goes to Jason and informs him that her daughter, Josslyn, has cancer and needs an organ transplant. She asks Jason for Jake's kidneys. Lucky and Elizabeth agree to donate Jake's organs, and the transplant saves Josslyn's life. After a police investigation, it is revealed that Luke Spencer was the one who hit Jake. Most people agree that it was a horrible accident, but Lucky blames his father's drinking for the accident. Luke, stricken with grief over killing his son's son, spins out of control. He trashes the Haunted Star, tries to provoke Jason into killing him, and eventually leaves town. Luke eventually returns, and sobers up.
In Jake's honor, Luke later sets up a charity in Jake's name and Elizabeth and Jason thank him for honoring their son. He also has Coleman Ratcliffe change Jake's bar to The Floating Rib because Luke didn't want a big neon sign that said Jake on it.
On July 9, 2015, Luke went to Cassadine Island to find Jake after Lucky told him that Jake was alive. Lucky didn't say where Jake could be found, but Luke assumed Cassadine Island, so that's where they went. After talking to Helena, she finally told him it was true, and after four years, Jake was alive. Luke didn't believe it until Jake drove his remote control car into the living room, ironically hitting Luke in the foot. Helena left them alone to talk. Jake then tells Luke his name is Jake and asks Luke what his name is.
Jake is then reunited with Lucky, then Elizabeth and then meets big Jake (Jason). He is also given a clean bill of health by Patrick. After the appointment, Jake meets Sam and Carly again. He then meets his grandma, Monica and cousin, Michael. On August 14, he finally meets his little brother, Danny and they play together with motorcycles, while their mothers look on, Sam, with a smile on her face and Elizabeth, with a look of terror on hers. Right before Sam and Danny leave, Jake (Jason) comes back and sees them. Jake later watches his parents get engaged (again).
In September, Jake wakes up from a dream that Jason was going leave him but he reassured him that he won't. In October, Jake comes home with a cut over his eye from fall while running home. His mom treats the cut and he goes upstairs but he just ends up sitting on the stairs listening to his mom and grandma talk about how Jake is really Jason and that Laura is worried about him (little Jake).
Jake is later seen standing outside his parents room and he tells them that grandma is there. Later on, Jake colors a picture for his grandma. Then Laura hears a scream and goes to what happened and sees Cameron, with a mask on his face, on the floor holding his head. Jake tells Laura that Cameron fell but Cameron said that Jake pushed him by accident because he didn't like his Halloween mask. Later, Jason and Elizabeth come home and while Elizabeth and Laura talk, Jake and Jason bond and Jake tells him that he's his real daddy. Later, Elizabeth tries to tell Jake that he misunderstood and that she just said that Jake will be his dad.
On Halloween, Jake is seen with his brothers and father about to go trick or treating in football costumes. He then asks where the candy comes from and Cameron tells him that they go door to door and Jake asks how they know that the people won't hurt them, to which Cameron responds "what?" but Jason tells him that no one is getting hurt because he will be with them the whole time. Just then Elizabeth walks in and they all go trick or treating. He is seen coming home from trick or treating with his family.After talking to Jason, Elizabeth asks Cameron and Jake if they would be okay with Jake adopting them after they get married. Cameron says yes and so does Jake but he again says that Jake doesn't have to adopt him because he's already his son. Elizabeth soon puts a stop to the conversation.
In November, he is seen rehearsing what he is going to say at the wedding. Later on, he is seen getting ready with his brothers. Afterwards, Michael and Sabrina come to Elizabeth's house to pick up him and his brothers but before they go, Jake and Aiden ask their grandma Laura if she is coming to the wedding and she tells them no. When Jake and Aiden arrive at the church, Jake asks if they can go up to the choir loft with Cameron but Sabrina says no but they can wait for him at the bottom of the stairs, then Michael tells them not to mess anything up.
At the church, he is seen with his brothers writing in the guest book, when Felix walks up and takes away the pen. The boys start getting impatient so Epiphany takes them out to the courtyard to play. They are then seen in the church at their seats when they hear music, which they think means the wedding is starting, so they go to the bridal room and drag their mom out. When they get out there, they wonder why Jake isn’t there yet. To keep the out of the way, Patrick sends them to their seats. They return a few minutes later ask their mom when the wedding is going to start and Elizabeth says not yet. Seeing that they are getting more impatient, Epiphany interjects and offers to take them to get ice cream with Felix and Sabrina.
The next morning, Jason tells Jake that no one will be calling him little Jake anymore because his (Jason's) name is Jason and he's his father, to which Jake hugs him and says I know. Jason then tries to get Jake to tell him what he means, he asks if he saw him or anything on Cassadine island but Liz injects and stops the conversation before Jake rats her out, by telling him to go get ready for school. Before Jake goes to school, he gets a visit from his grandma Monica, who hugs him and tells him to learn a lot and to be nice to the other kids. Then his mom takes him to school.
On Thanksgiving, Jake goes to the Quartermaine's, where he's greeted by his grandma. When Jake find out that Helena is dead, he gets so upset that he drops a glass figure and when his mom asks if he's upset, he says yes. This is when his mother finally realizes that he needs help. Later on, his little brother, Danny arrives and they play with cars and motorcycles and he also tells Danny that his mom, Elizabeth knows a secret about their dad, which Sam overhears. Later on, the whole family (Monica, Tracy, Michael, Jason, Jake, Danny, Sam and Dillon) including Elizabeth, Patrick, Sabrina and Paul have pizza after the power goes out due to Paul trying to deep fry the turkey. The next day, Jake and Danny have a playdate. During the playdate, Sam asks Jake about the secret he's keeping and he tells her that it made his grandma Laura mad at his mom, but once he starts to clam up Sam backs off. After Jason leaves Elizabeth house without telling her to apologize to Sam for yelling at her he comes down stairs and asks his mother were daddy was.
On Christmas, Jake and his brothers talk about what they want for Christmas and Jake says he has everything he wants--to be home with mom and dad. Then Elizabeth pulls out the Christmas stockings and Jake asks if she had to get him but she says no she kept his from when he was little. Then the boys wonder if Jason is going to be there and Elizabeth says she doesn't know because Jason is in jail. Jake then gets upsets and says he hates Christmas. Afterwards, Elizabeth sits the boys down and tells them the real story of Christmas. After the story, Jason shows up with presents for the boys. Jake asks if he home for good so Jason sits the boys down and tells them they have the best mom and that he loves them and will see them a lot but he can't stay. Later on, the boys go see Santa.
On New Year's Eve, Jake tells his mother that he saw someone outside the house and that he needs his daddy. Elizabeth calls the cops and then calls Jason to come over because Jake is scared. When he gets there Jason makes it clear that he is always there for Jake and decides to stay the night for him. The next day, Jason has a brief conversation with Elizabeth about a custody arrangement for Jake. Elizabeth tells Jason she never thought about Jake having to live in two places before but she agrees to an arrangement.
On January 6, 2016, Elizabeth takes Jake to work with her because he says he has a stomach ache and because his sitter can't watch him today. Once they get to hospital, they see Franco and she tells Jake to promise her not to talk to him. Franco comes over to Jake and Elizabeth who are sitting on a bench and asks Jake if he wants to color but Jake tells him that he's not supposed to talk to him. Then Officer Young comes to update Elizabeth on the case of who Jake possibly saw. So Jake will not hear Elizabeth, she reluctantly lets Jake talk to Franco after he gives Jake crayons to color with and she tells Franco she will be watching him and that Jake is sick and remember that. When Elizabeth comes back Jake and Franco are playing and then she takes Jake to get something to eat. Jake leaves the paper he was coloring with on the bench and Franco picks it up and see that Jake was drawing creepy houses with a black background surrounding them. Later on, Elizabeth and Jake are seen outside of Kelly's but when she sees Sam with Jason, she suggests that they go to an Italian restaurant
Jake and Laura end up scaring Elizabeth since she didn't think anyone was home. Laura then tells Elizabeth that Audrey asked her to pick up Jake and bring him home since he said he was not feeling well. Then Jake tells Elizabeth that he feels better when mommy and daddy are home with him. After he says that Elizabeth tells Jake that he can go upstairs and play videos games. Once Elizabeth thinks her son is upstairs she talks to Laura about Jason and just as Elizabeth says that she thinks Sam and Jason are getting closer. Laura tells Elizabeth that Jake is on the stairs listening to there conversation. Elizabeth then tells him "what did I say about listening to adult conservation, Jake" and he tells her sorry and he goes back up stairs.
Jake is later seen staying at the Metro Court with his parents since Jason is worry about the picture that was found broken in Elizabeth's house. Later on, Jason takes Jake for ice cream. When they get back to the room Sam is there and Jake is very rude to her. Jake then claims that Sam was the person that broken into his mother's house and broke their family picture. Jason says he knows it wasn't Sam and that it's not good to lie. The next day, Jake goes to see a therapist that Kevin Collins recommended. Later on, the therapist tells Elizabeth that Jake is very attached to his father and she thinks that art therapy with Franco will be good for him much to Elizabeth's shock. The therapist also suggested verbal therapy. While Elizabeth talks to the therapist, Jake colors with Franco.
Jake gets upset that Sam is in his house and again blames her for breaking the family picture. Sam tries to tell him that she would never try to hurt him, but he claims that she already did. Then Elizabeth takes Jake upstairs to build a race track. Elizabeth tries to explain to him that her and Jason love him, but they are not getting married and they are not living together anymore. Then Laura shows up and Jake goes to bed. While Elizabeth and Laura are talking Jake eavesdrops and hears his mom bad mouth Sam. Jake is then seen drawing a picture of what looks like a dead Sam.
A few days later, Elizabeth asks Jake if he wants to come play soccer with his brothers, to which he tells her that he hates soccer. Afterwards Jason comes over and Jake shows him a picture he drew of the two of them and says that "he can put it in the room that you and mommy sleep in." Jason then explains to him, again, that he loves Jake and his brothers but that he and Elizabeth are not getting married nor will he be living with them, to which Jake does not react well too. After Elizabeth leaves for work, Jason sits down with Jake and looks through his drawings and finds a disturbing picture (dead looking Sam). Jake then asks if he likes his drawings.
On January 29, Jake is seen with his dad, who is asking him about the lady in the picture. First he says the lady is pretend, then from a video game. Jason tries to get him to open but before he does the sitter shows up. Then Jason leaves and Jake and his sitter play with silly string but Jake gets it in her hairs so she leaves him alone to go clean up. While alone Jake throws something through the window to make it look like the stalker and then cuts his finger. A few minutes later, Sam shows up to see Elizabeth, who isn't home and she asks Jake where the sitter is and if he broke the window because the glass is on the outside not the inside. He denies breaking the window and runs to the basem*nt to hide from Sam. Sam ends up tripping on the steps and falls down the stairs. Jake just watches as she falls and looks as she lays at the bottom of the stairs.
Jake is then seen looking at Sam and asking if she's okay. Then his babysitter calls his name wondering where he is. Jake goes upstairs and then when Jason and Elizabeth arrive they find that Jake is gone. Then Elizabeth finds a note from Jake saying goodbye. Jason goes looking for Jake while Elizabeth stays home. When Jason gets back, he tells Elizabeth that Jake's bike is missing. A few minutes later, there is a screech and horns honking and Elizabeth screams "Jake!!". Jake is later seen in the hospital with facial bruising, a broken arm and leg and internal bleeding. Except this time the doctor has revealed that his prognosis is good. Jake regains consciousness with his parents by his side and tells them that he didn't runaway for the reason they think. Jake is then wheeled in for surgery.
On February 4, Lucas tells Elizabeth and Jason that their was a complication during surgery. It was revealed that there was another bleeder but they fixed both of them and he's out of surgery and stable. Elizabeth goes to visit an unconscious Jake and then Jason visits him and he wakes up. Jake tries to tell Jason about Sam but falls asleep before he can get the words out. When he wakes up he tells his mom that "he killed her". The next day, he says something about killing Sam but he starts to confuse reality with his video games but before Elizabeth can get any details he passes out again.
The next day, Elizabeth is seen sleeping in Jake's hospital room. Soon after Jason shows up, Jake wakes up and asks if they are going to be a family and if his parents are going to be together. Elizabeth tells him that they will always be a family and his dad is his dad but that his parents won't be together. She also finally tells Jake that Sam had nothing to do with his parents breaking up, that it was all her fault because she lied. Later on, Sam shows up to reassure Jake that she's fine but Jake thinks she's a ghost. Sam tells him that she's alive and well and that none of this is his fault.
On February 17, Elizabeth and Jason find out that Jake injuries are worse then the doctors previously thought and that he needs special individual care. After finding this out, Jake's parents decide that Monica's recommendation to take him to Shriners Hospital for Children in Philly is the best course of action. On February 29, it was revealed that he had surgery to place rods in his left forearm and left tibia and the surgery was successful. Later on, Cameron and Aiden (and Nikolas) come to visit him and his brothers along with his dad promise to help him become better at baseball. On March 1, Danny and Sam come to visit. Danny also brings Jake a truck. Afterwards, he and Jake go to the hospital playroom to play with Cameron and Aiden. Later on, Jake FaceTimes Franco.
On March 3, Elizabeth tells Jake that his bike is trashed but that he's going home and back to school. Elizabeth also tells him that there will be a welcome home, Jake party. Elizabeth also tells Jake that he can start a drawing class after school when they get back and then he asks if it can be with Franco and his mom says maybe. Later on, Jake FaceTimes Franco again and then Franco shows up at Shriners riding the bike he got for Jake. A little while later, Jason and Sam show up to help Elizabeth take him home. Before they leave the hospital, Jake and Danny go to the playroom.
On April 25, Jake is seen with his father waiting for Franco to show up for their art therapy session. Jake tells his dad that Franco is hardly ever late for their sessions and that he always shows up. Franco shows up with a puppy just as Jason goes to call Elizabeth. Jake asks Franco if he can have the puppy and Franco says yes but Jason says no. Jason tells Jake that it isn't the right time for a puppy to which Jake responds "I hate you." Monica injects and suggests to Jake that they take the puppy to see the grounds keeper who has been looking for a dog so Jake leaves and goes with Monica.
On May 16, Jake and his mom head to his therapist even thou he thought he was going to see Franco. Elizabeth tells Jake that he isn't going to see Franco anymore which upsets him a lot. Soon after Franco shows up and tells Jake that both of his parents decided to stop their sessions because Jason doesn't think that Franco is the right person to work with Jake. Jake is very unhappy with this and decides to go to his therapist appointment on his own but instead he runs away and ends up on Franco's doorstep. Later on, Franco calls Elizabeth to come get her son. Jake tells his mom that she didn't listen to him so why should he listen to her. After talking to Franco, Elizabeth takes Jake home.
On May 25, Jake sings This Changes Everything, at the 2016 Nurses' Ball, which ends up as a duet with Franco because Jake gets stage fright. On June 22, Jake is seen with his mother and Franco at the new house (The Brownstone). In August, Jake is reunited with his dad after his (Jason's) trip. Later in the month, Jake finds out that his dad and Sam are engaged and he is really happy about it because Sam makes his dad happy like Franco makes his mom happy.
On September 2 and 6, he is seen at his dad and Sam's wedding with his brother, Danny. He is also takes family pictures (which he doesn't like) with his dad, Sam and brother. As Sam walks down the isle, they share a very special moment. Right after the wedding, Jason gets call from Franco about Elizabeth and has to explain to Jake that his mother was hurt but that he loves and he will also be with this his brothers. A few weeks later, Jake hears his mom and Sam fighting about Franco and wants to know why so Franco sits him down and explains that he did some bad stuff to Sam. Later on, Jason shows up and Jake is very happy to see him. On Halloween 2016, Jake is seen at the Metro Court with his mom, dad and Franco dressed as a ninja. Later on, his dad takes him to see his grandma Monica.
On Thanksgiving, Jake spends the day with his dad and brother, Danny watching football.
In December, Elizabeth takes Jake, Cameron and Aiden ice-skating. It was also revealed that Jake is a huge fan of Pittsburgh penguins hockey player Sidney Crosby. On Christmas Eve, Jake is seen GH with his brothers, his mom, grandmas and Franco. Afterwards, Jake and his brothers listen to Monica tell the story of Christmas.
On March 2, Franco tells Jake that he has baby sister, who doing great and then Jake rightfully assumes that Sam isn't okay. Jake feels terrible about the way he treated Sam and mentions the curse Helena put on her last year. He also says that he and Danny talked and they are going to protect the baby.
In March, Jake is seen with his mom and Franco. He also finds out that his dad and Sam are okay as is his baby sister. He also gets to see of picture of baby Scout and says she doesn't look cursed. He then unknowingly quotes a phrase from the book that Helena left Elizabeth in her will, which freaks out Franco and Elizabeth. The next day, Jake and Franco draw a timeline of there lives but Jake leaves a big blank spot for the time he spent on Cassadine Island. Later on, Elizabeth notices that there is scarecrow on Jake's timeline that he drew in the middle of the night but Jake doesn't remember drawing it.
In April, Jason and Elizabeth take Jake to see Dr. Andre Maddox. After his session he calls Franco. The next day he shows up on Franco's doorstep and the two paint. Later on, Franco calls Jason and Elizabeth to get him and Jake gets mad but leaves with his parents. A couple of days later Jake has another therapy session with Dr. Maddox and then gets mad at Franco for showing his mom a drawing and runs away. He also tells Franco repeatedly that he doesn't want his parents to know anymore about the scarecrow.
At the end of April, it was revealed that Jake is afraid of his father's old face. Later on, Jake fakes being sick with a 110 degree fever.
In early May, Jake tells his mom and Franco he wants to stay home for his birthday. His parents also discover (separately) a chimera that he's drawn. Jake also receives a magic kit from Spencer (it was later revealed that it wasn't from Spencer), that had a chimera on it as well (it was later revealed to be the actual chimera that Anna and Alex Devane are looking for). Jake is later seen at the park with his parents, step mom, brother Aiden and Franco.
At the 2017 Nurses' Ball, Jake was suppose to do a magic show with assistance from Emma and Charlotte (that would release The Chimera virus) but cancelled it at the last minute. After the ball is over, Jake insists on doing his magic show, but it was put to a halt after Jake was revealed to be in possession of the chimera virus. Jake was egged on by hallucinations of Helena telling him to release the virus but is talked down by his parents (mostly his mother) and the virus is contained.
In June, Jake is seen having a therapy session with Dr. Maddox again. Later on, Elizabeth gets a call from Jason telling her that Helena's henchman is in town and that they need to get somewhere safe so they lock themselves in an exam room with Dr. Griffin Munro. Jake is distracted by pretending to be the doctor with Griffin as hist patient. He is then seen with his mom and aunt Hayden who runs into their exam room to throw up. After the henchman is caught Jake is seen with his parents and stepmom. Then he hangs out with his aunt and tells her that she's pretty cool and hugs her.
On September 22, his step aunt Kristina takes him and his brother, Danny to visit their comatose "father". They also sing to him and he wakes up shortly after they leave.
In October, Jake is seen in the park with his parents. He also hear Patient 6 call his name. A few days later, Jake tells Liz that the man in the park looks like Jason used to look. He also goes to see Andre about the man in the park. In November, Jake finds out about his father's twin. Jake spends Thanksgiving with his mom, brothers and Franco. In December, Jake finds out that the man he thought was his father isn't and that he's his uncle. Jake doesn't take it well and tells Drew that he will always be his father. On Christmas, when Jason comes to give him a present, Jake rejects him. However, on May 7, 2018, Jake's birthday, his father Jason visited him with his birthday present and they start to bond.
On Halloween 2023, Jake is seen at the Cassadine House with his brother, Danny, Georgie Spinelli and Charlotte Cassadine. The group plans to head out to the Harbor Vista neighborhood to trick-or-treat on their own. Valentin drives them to the neighborhood and gives them strict instructions before sending them off. The group walks around but it's already late, so many houses were out of candy and started giving out fruit or money instead. Charlotte sneaks away from the group and changes her costume. Meanwhile, Jake, Danny and Georgie realize she is missing.
Jake thinks he sees Charlotte in her new costume and sends Danny and Georgie off in the other direction while he attempts to follow her. Danny and Georgie head back to Valentin and tell him what's going on. Danny calls Jake and Georgie texts Charlotte but neither gets an answer. Charlotte shows up at Anna's apartment and rummages through her files. Anna returns home and senses that someone is inside. She enters the apartment, mistakes Charlotte's flashlight for a gun and shoots.
