Queen Elizabeth II is the current head of the British monarchy, Supreme Governor of the Church of England, and matriarch of the British royal family. She makes a brief appearance in the Season Eleven episode "The Snuke", in which she tried to invade the United States with an army of archaic warships. When she discovers that her warships have been sunk, she commits suicide with a handgun.
She has gray hair, in a very unique style. She wears a white-spotted light blue dress, a jewel-studded tiara, gold (with a jewel in the middle) earrings, and a pearl necklace. She also wears a dark purple sash that has many medals pinned on it. She also has unusually thick, gray eyebrows. She is also visibly aged.
In South Park, she, along with the rest of the British, seem to hold grudges against the United States, trying to invade America in "The Snuke" because of their "rebellion" (The American Revolution). The fact that she killed herself when she learned her plan failed could mean she is extremely nationalistic and unable to admit or accept defeat.