Wife: Babe Carey Chandler
Mother: Melinda Cramer
Siblings: Kelly Cramer Buchanan (half-sister)
Aunt: Addie Cramer, Dorian Lord
Cousin: Blair Cramer, Cassie Carpenter
Mother-in-law: Krystal Carey
Brother-in-law: Kevin Buchanan
Significant Romantic Relationships:Babe Carey Chandler (wife)

Paul Cramer grew up with his father (whose name has never been revealed), never knowing that he had a sister, Kelly. Paul's mother, Melinda, was mentally disturbed and had been in and out of mental institutions all her life. Paul joined the military and served some time in the Middle East. At some point (still unknown at this time), Paul decided to use the last name Cramer in honor of his mother. Paul returned to the states, arriving in San Diego. There he met a flirtatious and beautiful young woman, Arabella "Babe" Carey. After one drunken night, the two got married! Both woke up the next day and realized their mistake, with Paul giving Babe annulment papers to file.

Paul's father passed away, and upon his death Paul found evidence that he had a half-sister, Kelly. Paul had never really known his mother, so he ventured to Llanview to meet Kelly and this new side of his family. After a rocky first meeting, Kelly began to accept Paul and the two built a relationship. Paul got a job at the local hospital as a medivac pilot. He also met his great Aunt Betsy, a rich and bitter woman who wanted to leave her $30 million estate to someone in preparation for her death. When no single female Cramers met her attention, Betsy decided to leave everything to Paul-on the condition that he never marries or have children.

Paul was shocked when Babe re-entered his life asking him to keep his mouth shut if anyone asked questions about her past. Babe had since gotten married to JR Chandler and did not want anyone to find out what she soon confessed to Paul---they were still married! Babe never filed the annulment papers, meaning her marriage to JR was invalid and she was still married to Paul! Desperate to keep this secret (for it invalidates him in Aunt Betsy's will), Paul and Babe came to a mutual agreement.

Paul allowed himself to be charmed by Babe, who wanted Paul to ensure that paternity test results for her unborn child read JR Chandler as the father. With Babe's promise of sex and money, Paul agreed to have the results say JR was the father---but never told Babe whether he actually had to change the results or whether JR was naturally the father. Paul was also shocked when Betsy left her $30 million to Adriana Colon, whom Dorian claimed was her long last daughter. Betsy died shortly afterwards, leaving Paul determined to prove that Adriana is not the rightful heir.