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Born in Paddington, Middlesex, England, Tilbury was known first on the London stage and later for playing wise or evil older characters in films, such as the distinguished lady gambler at dinner with Garbo in The Single Standard(1929), as Grandma Joad in The Grapes of Wrath (1940) and Grandma Lester in Tobacco Road (1941). She appeared in over seventy films.

Tilbury was the daughter of the variety performer Lydia Thompson and John Christian Tilbury, a riding-master, who died in a steeplechasing accident in 1864, when he was rolled on by his horse.

Tilbury was married twice. First to Arthur Frederick Lewis in June, 1887, and later to L. E. Woodthorpe,who died on April 8, 1915. Tilbury died in Los Angeles, California at the age of 86.