James and Elizabeth. Spaces indicate where Elizabeth should be speaking, and thus appropriate pauses are essential.
James: Ah Elizabeth, you're here! Back so soon? It has been such a busy day.
Don't bother trying to hide your face. I've already seen the tears that stain it.
James: [comforting] Now-now. I didn't mean it harshly. Tell me what is bothering you.
James: [confused] You've been to see the doctor. What on earth for?
James: The pains in your stomach… [malicious] What did he say? Did he give you the news? [Pause then surprised] Oh, such a slip of the tongue. How should I know what he said?
James: [slight undertone of mocking] He said that you'd lost the baby? Preposterous!
James: [irritated and eager] Of course I'm upset! Keep going!
James: [confused] He said that it died of natural causes? [angry] how could such a reputable man lie o you so blatantly?
James: [irritated] it's obvious he's lying to you! I should know. I threw the pill in your drink myself. [another awkward pause and again surprised] Oh my, another slip. I don't know what I'm saying. It must be the heat.
James: [insulted] No, it wasn't! I couldn't! How could you even think such a thing?
James: [soft and slow] Then again. I couldn't bare the thought of my Elizabeth carrying another man's child in her womb. My womb.
James: [maniacal and loud] Fine, I admit it! I killed that thing in you. It was so easy.
James: [mockingly and filled with hatred] My dear, you seem to be misinterpreting me. You never were pregnant. A pregnancy is a wonderful gift, born of love, a child of wedlock. Yours is a monster summoned from a heated night with a servant. Or should I say WAS?
James: [maniacal and mockingly] You haven't even heard the best yet! That pill has killed you inside. You will never bare a child. It has "cleansed" you.
[crazy laugh. Suddenly stops when looking at Elizabeth]
James: [panicked, soothing , afraid] Elizabeth? There's no need for that. [back away] Stop it! Put down the knife, Elizabeth! No. Elizabeth… [running] No.