In this pivotal chapter, the Velveteen Rabbit grapples with a profound emotional conflict as the boy he loves falls gravely ill. The rabbit, who has experienced the warmth of the boy's affection, begins to understand the fragility of their bond. As the boy's condition deteriorates, the rabbit overhears a conversation between the boy's mother and the doctor, which reveals a troubling possibility: the boy may have to be isolated to prevent the spread of his illness, and in that case, the rabbit could be discarded due to the risk of infection.

This news plunges the rabbit into a deep dilemma. He is torn between his desire to be close to the boy and the fear of being thrown away. The rabbit reflects on what it means to be loved and valued. He recalls the moments of joy shared with the boy—playing together, being a source of comfort, and the joy of simply being there. These memories highlight the significance of their relationship and the depth of the love that has made him feel almost real.

The rabbit becomes increasingly anxious about the potential for separation. He worries that if he is discarded, he will lose not only the boy but also the love that has helped him grow emotionally. This contemplation leads to a realization that his existence and the meaning of being 'real' are tied to the affection he receives. The rabbit, despite his fears, resolves to remain by the boy's side, determined to provide comfort and companionship during this difficult time.

Furthermore, the rabbit's internal struggle is compounded by feelings of helplessness as he witnesses the boy’s suffering. He desperately wishes he could do something tangible to help the boy get better, but he knows that his role is to simply be there, offering love and support. This chapter beautifully illustrates the themes of love, sacrifice, and the emotional turmoil that can arise when faced with the possibility of loss.

Ultimately, the rabbit's dilemma underscores the profound connection between a child and their beloved toy. It emphasizes the importance of love in giving life and meaning to both the rabbit and the boy, setting the stage for the heartwarming resolution that follows in later chapters. Through this struggle, the reader is reminded that true love often comes with challenges, and the bonds formed can lead to transformative experiences, even in the face of adversity.