Janeway and Chakotay are travelling back to Voyager on a shuttlecraft when they are forced down by electrical interference from a nearby planet. Janeway is critically injured in the crash and has to be revived by Chakotay via CPR and cordrazine. Janeway activates their homing signal and then realized that this shows the Vidiians (who Chakotay discovers have shot them down) right where to find them. She tries to disable it, but the Vidiians already landed. They are then captured and killed by the Vidiians (Chakotay is shot, Janeway is strangled).
Janeway finds herself back on the shuttle; she and Chakotay have a vague awareness that all is not right. They track a Vidiian warship on an intercept course and are determined not to make the same mistakes as before. After a brief battle, their shuttle warp core destabilizes and it explodes. Janeway and Chakotay are right where they started again; in the shuttle. Then they once again see Vidiians - this time two ships - on an intercept course, and when they take steps in an attempt to escape the apparent time loop, the Vidiian ships suddenly disappear. They are contacted by Voyager and brought back safe and sound. However Janeway begins to show signs of disorientation.
The Doctor informs Janeway that she has been infected by a virulent strain of the Vidiian phage; to her horror, the Doctor then euthanizes her with nerve gas. Then, once more they are back on the shuttle. They see a strange bright light in front of them that is coming towards their shuttle; suddenly it engulfs them. Next, she finds herself in an out-of-body experience. She sees Chakotay trying, unsuccessfully, to revive her. Crew members arrive and transport her straight to sickbay, and her "spirit" follows, trying unsuccessfully to contact the crew. The Doctor and Kes get some signs of life, but ultimately, Janeway dies.
"Spirit" Janeway is next encountered by the "spirit" of her "father," who is there to transfer her to the "next world." He allows her to stay for her funeral. Something about the whole thing does not seem right to her. Soon after her funeral, she stalls going with her "father" so she can figure out what is going on.
Suddenly, she sees a vision of looking up at Chakotay and the Doctor, still on the surface of the planet, as if they are still trying to revive her. A second and third vision makes it obvious this is all a ruse, and her "father" is really a non-corporeal being trying to coax her spirit away from her body so he can feed off it. She refuses to go, and they are successful in finally reviving her. She makes a full recovery on Voyager. Janeway invites Chakotay on a holo-date and he accepts.