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Alexandra Cartman is the niece of Liane Cartman and Jack Tenorman, the daughter of two unnamed family members and the cousin of Eric Cartman. She made her first appearance at the dinner scene in the episode "Merry Christmas Charlie Manson!" and later on in the episode "Cartmanland".
Alexandra Cartman has long brown hair and possibly wears black mascara. She has some freckles between her eyes. Alexandra is the second member of the Cartman family who is not overweight, like her aunt. Actually, if anything she seems to be underweight as she looks the same age as Shelly Marsh, who is exact weight. In "Cartmanland" she wore a black dress over a white shirt and a black shoes. She also wore makeup to the funeral.