Ramsey's performance in the television series has been similarly praised. Both the character and performance received numerous awards and nominations, and have regularly placed favorably in polls and lists. Johnson's performance in Part II was praised for her depiction of vulnerability and suffering.

A scene in which Ellie and Riley kiss in Left Behind drew social commentary and was commended as a leap for LGBT representation in video games. The strength and complexity of her character, and its subversion of the damsel in distress stereotype, have also been commended. About The Game - The Last of Us is a popular action-adventure video game developed by Naughty Dog & published by PlayStation PC LLC. The character has been well-received by critics, with Ellie's relationship with Joel most frequently the subject of praise. For her performance in Part II, Johnson considered her own experiences with anxiety and researched the effects of post-traumatic stress disorder. Following comparisons to the likeness of Canadian actor Elliot Page, Naughty Dog redesigned Ellie's appearance to better reflect Johnson's personality and make her younger. Johnson inspired aspects of Ellie's personality, prompting Druckmann to make her more active in fighting hostile enemies. Inspired by a mute character proposed for Uncharted 2: Among Thieves, he created her as a strong female character who has a close relationship with Joel throughout the first game's development, the relationship between Ellie and Joel was the central focus. Ellie was created by Neil Druckmann, the creative director and writer of The Last of Us.

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