First of all, based on some of the other spoiler photos, it looks like she’s flipped her humanity switch back to on. Displaying a range of emotions from happy to worried to shocked, Elena definitely seems back to her old self.
One of the reasons Elena looks worried? According to TV Guide, Damon has a wound that needs tending to. Just what happened to the elder Salvatore remains a mystery, but Elena’s expression has us wondering what her feelings are for him.
Julie Plec teased to Give Me My Remote that the newbie vamp will definitely come to a conclusion about Damon. “It will revitalize the triangle for sure,” she said, “and as far as the Elena and Damon information, I think what it will do is cement their relationship — or lack thereof — once she comes clean with a sense of at least semi-permanence, if not permanence.”
At the time, Julie did not mention that Damon would be shirtless while Elena is weighing her options.