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Picard's perennial nemesis Q (John DeLancie) makes his first sixth-season appearance in this episode. On this occasion, Q sets forth to test Enterprise medical intern Amanda Rogers (Olivia d'Abo), whose parents were originally from the Q continuum. The testing process reaches its peak when Amanda begins displaying Q-like tendencies, leading to a difficult decision between her present self and her true heritage, and a potentially larger crisis involving a dangerously polluted planet. First telecast October 31, 1992, "True Q" was written by Rene Echevarria.