But as she takes a six month break from the show, the actress is a world away from her character's depressed life and wardrobe as she soaks up the sun in the Caribbean.
Showing off her slim figure in a patterned halter-neck bikini, its hard to believe the 39-year-old is a mother of four.
After renewing her wedding vows on the island of St Vincent with her husband Richard Merkell, the soap star and her family are enjoying some much-needed quality time together.
Staying at the five-star Buccament Bay resort, the family have been enjoying lots of water sports during their time on the island.
Joining the actress, who turns 40 on May 26, and Merkell, were their three children Fenton, 11, daughter Emilia, 10, and son Bertie, 17 months, and her son Charley, 20, from a previous relationship.
Recently, the couple revealed they had decided to renew their wedding vows while on the island after their original ceremony 12 years ago was a bit rushed.
She told Hello! Magazine of her original wedding: 'I'd just given birth to Fenton prematurely at 32 weeks and he had to stay in hospital. We went to register Fenton's birth at Chelsea Register Office and out of all the gloom and worry we wanted to do something really lovely and get married.
'I was still big from my pregnancy so I didn't wear a proper wedding dress, just a baggy cotton frock, and we never even bothered with wedding photos.'
She said the recent service was 'a celebration of our lives and love for each other' and credited her husband with giving her 'the strength and stability' to quit her party lifestyle.
Palmer said: 'We wanted a simple but spiritual ceremony with lots of fun and laughter and to take away some really lovely happy memories, as well as make the children feel secure. It was exactly that and more. I feel really blessed.
Her break from the soap comes a few months after she revealed she suffered a miscarriage in October.
She tragically lost her baby just as she was preparing to return to the BBC soap after her maternity leave following the birth of her son Bertie.
An EastEnders spokeswoman said: 'Patsy will be back on screen later this year.'
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