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After Tommy learns of Ruby’s deadly diagnosis, he decides to visit his former sister-in-law, Esme Shelby-Lee (Aimee-Ffion Edwards), to see if she put a curse on Ruby. He can immediately tell that Esme didn’t know about the curse, but she guides him to a graveyard where members of the Barwell family are buried.
Tommy remembers that he gave a cursed sapphire to a woman named Bethany Barwell about a decade earlier. His first wife, Grace Shelby (Annabelle Wallis) was wearing the sapphire when she was shot and killed back in Season 3.
Source: https://www.distractify.com/p/does-ruby-die-in-peaky-blinders
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