Elisa Bianco, 22, conned Sally Retallack, 49, into believing she was about to die, caused an irreparable rift with her husband Ralph and then posed as a man who seduced her online as she seized control of her victim's life.
Bianco met the mother-of-four on a college course and realising her tutor was trusting the connived herself into her home by claiming she had three months to live and nowhere to go because she was abused.
The student faked a terminal kidney tumour and Mrs Retallack helped her fulfil her 'bucket list', which included expensive gifts, trips and a 'goodbye' birthday party for friends to say farewell before she died, Truro Crown Court heard.
Bianco would be dropped off at hospital every day - and even pretended she had her kidney removed - but would just sit in a cafe in her pyjamas and dress herself in bandages.
But her lies were exposed when Mrs Retallack, who gave up work to nurse her through her final days, came to surprise her at the Royal Cornwall Hospital but nobody on the renal ward had ever heard of her.
Bianco pleaded guilty to stalking, causing serious alarm or distress on Friday and was jailed for two years and eight months.
Explaining the extraordinary betrayal the court heard how Bianco became an 'uninvited cuckoo' in the home and used mind games to drive a wedge between Sally and her husband - which eventually saw them split, the court heard.
Bianco then set Sally up with a 'recently widowed' consultant physician 'John' - who was actually her using a 'husky' voice and fake email address.
Sally and 'John' became close - exchanging intimate emails - but Bianco invented a cancer diagnosis for the internet lover and killed him off before they could meet.
Her victim's life has been left in tatters and she has now moved to France, the court heard.
Jailing her judge Christopher Harvey Clark QC said: 'It is a strange but very disturbing case.
'I can truthfully say it is the most extraordinary case I have had to deal with in a long time.
'You were like an uninvited cuckoo fledgling in the nest of a willow warbler - an unexpected offspring demanding to receive constant attention.
'Most chilling was the callous and cruel deception to create a fictitious hospital consultant.
'You heartlessly manipulated Mrs Retallack's deepest emotions. No sentence will compensate her,' the judge said.
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