'The Vampire Diaries' Season 4 Spoilers: What's Happening to Elena?

The Vampire Diaries season 4 has quite the November planned as Elena continues to adjust to being a vampire. The CW has announced their November sweeps schedule, and part of it includes spoilers for episode 6, "We All Go A Little Mad Sometimes."

Vampire Diaries Season 4 Episode 6 "We All Go A Little Mad Sometimes" Spoilers

"Terrifying hallucinations leave Elena (Nina Dobrev) shaken and confused, causing her to make a dangerous mistake."

Is Elena going to end up taking a life in this episode? Could she end up putting someone in danger? Either seems like a very likely scenario, given this episode description. But what's causing the hallucinations? Will it have something to do with her doppelgänger side and her new vampire side? What is she going to be seeing? This sounds like it could lead to some serious trouble in Mystic Falls, especially if Connor is still around and on the hunt.

Will everyone survive this Vampire Diaries season 4 episode? With Elena confused, she could do anything—and that could leave anyone in danger. Stefan has been worried that if Elena hurts someone, she could turn off her humanity. Will she come close to that in "We All Go A Little Mad Sometimes"? Is someone having some fun and doing something to her? There are many questions about this scenario, but one of the main ones has to be: Will everyone still be alive by the end of this episode? With this episode part of November sweeps, you know it's going to be a big one—and that means someone may not make it out of this alive.