Vicar Amelia

Vicars were the heads of the Healing Church, as is revealed in the item description for the Gold Pendant, which she can be seen clutching in the cutscene, and even in battle after her grotesque transformation. This would make her the last Vicar, who oversaw the Church as Yharnam fell to the beasthood brought upon it by misuse of the Old Blood. As the player finds her, she is seen praying to the altar in the Grand Cathedral which hold a misshapen skull, presumably that of Laurence, the founder of the Healing Church. Here she kneels awaiting her inevitable transformation, praying, clasping her pendant which existed to carry a reminder that had been all but forgotten, and that may have prevented the madness that led Yharnam to ruin before her eyes: Fear the Old Blood.