So Seven creates this holodeck program in which she has a romantic relationship with Chakotay... Chakotay?? Anyway, her implant begins to mess her all up and she screws up her duties. The Doctor figures that her implant is activating a program that prevents her from feeling emotions. He said that he is able to remove it after many surgeries but she says no. At the end she declines a dinner invitation from the real Chakotay, thus choosing to remain emotionless. I guess.
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