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An illusion was a pseudo-reality created by natural and/or artificial means. For an individual experiencing the illusion, it could be as real as the thing in reality and just as hard to dismiss. The illusion was based on an individual's thoughts, memories, experiences, and dreams.

Some telepathic species had the natural capacity at creating an illusion for an individual. This act of creation could have a therapeutic effect on an individual who was physically incapacitated. The danger for the telepath was that they could become lost in the illusion, feeling the emotions of the individual, and, over time, become addicted to the experience. As the telepath lived and relived the illusory life of the individual, he or she would gradually give up the ability to travel, to build, and to create. The danger for the individual was that he or she may learn how to create illusions and, potentially, travel upon the same path as the telepath. (TOS: "The Cage")

Certain recreation rooms were capable of holodeck-like simulation of environments. By 2270, the USS Enterprise was outfitted with such a room. This rec room was capable of creating pre-programmed illusions using holographic scenes, simulated weather including wind and temperature, and sounds played from audio tapes. The scenes it created included an 18th century European hedge maze, forests, blizzards, and a beach with seagulls. Even though the scenery extended beyond the room, one would still be able to walk up to and touch the walls during a simulation. (TAS: "The Practical Joker")

In 2365, the USS Enterprise-D was attacked by the Borg after being catapulted into their space by Q. The attack resulted in the deaths of 18 of the vessel's crew and Captain Jean-Luc Picard pleaded with Q to tell him that it was one of his illusions. Q, however, responded that it was as real as their so-called life got and vanished. (TNG: "Q Who")

In 2373, Tuvok and Marayna discussed the subject of illusion. Marayna told Tuvok of how she enjoyed sailing because of the excitement, of being tossed around by the wind and the waves but feeling like she was in control. Tuvok pointed out that this was an illusion of control and she agreed that this was so, as nobody could control the waves. She stated that she nevertheless felt like she could, asking if he had ever felt this. When he told her that he had not, she asked if he had an imagination. He told her that all members of his race had a highly developed imagination. She then asked him to imagine that his logic and reason were skipping atop endless waves of emotion and that he believed himself to be in control, but he knew that control to be an illusion. He believed that he could understand the depths beneath, but this too was an illusion. Hearing this, Tuvok was impressed, saying that he understood why Harry Kim found her compelling. (VOY: "Alter Ego")

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