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The Old Ladies make their first appearance in "The Enchiridion!"" where they are destroyed by Gnomes every time Finn "wusses out." Seconds after seeing them destroyed, Finn retreats to a stream in depression because he could not save them. Jake then tells Finn that they were just illusions and that Mount Cragdor was designed to mess with Finn's head. The first two Old Ladies that were supposedly destroyed are then seen at the picnic at the end of the episode, along with Mannish Man, Key-per, and Princess Bubblegum (via hologram transmitter).
One of the Old Ladies is voiced by Maria Bamford.