Carangi was born in Philadelphia, the third and youngest child of Joseph Carangi, a restaurant owner, and Kathleen Carangi (néeAdams), a homemaker. She had two older brothers. Her father is Italian, and her mother is of Irish and Welsh ancestry. Joseph and Kathleen had an unstable, violent marriage, ultimately leading Kathleen to abandon the family when Carangi was eleven years old. Those who knew her blamed her "fractured childhood" for the instability and drug dependence that plagued her adult life. She was described as "needy and manipulative" by relatives who recalled her as spoiled and shy as a child and a "mommy's girl" who did not receive the motherly attention that she desired.
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