As we saw with Rebekah (Claire Holt) and Matt (Zach Roerig) in Vampire Diaries Season 4, Episode 3, “The Rager,” hallucinations can be very deadly for invisible humans. (She ripped the heart clean out of his not-really-there body!)

In Season 4, Episode 6, “We All Go a Little Mad Sometimes,” Elena (Nina Dobrev) is having her own visions.  TVLine reports, “Someone is going to start haunting Elena from beyond the grave — and it’s going to Freak. Her. Out. It gets so bad that she nearly ******* ******e.” How are you filling in those blanks?

In the promos, Katherine (Nina Dobrev) shows up — unless that’s all in Elena’s head. We’re not worried about the older doppelganger; Kat’s been in worse scrapes than tangling with a new vamp who’s tripping out. No, the real threat seems to be to Elena and Stefan’s (Paul Wesley) relationship.

The baby bloodsucker is having some more intimate moments with Damon (Ian Somerhalder), and Stefan can’t help but pay attention. We’re kind of thinking Stelena is head for a breakup.

This time, the heart being ripped out of the body might be more metaphor than mirage.

Credit: The CW Photo: Vampire Diaries Spoiler Video For Season 4, Episode 6, "We All Go a Little Mad Sometimes": Elena Is Showered in Blood

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