Quaelgeist // Decicsions

Quälgeist. the title is German and could be meaningfully translated with "haunting ghost/haunted mind", tho there´s actually more to it: the word "Geist" is equivalent to "mind" aswell as "ghost", quälen (verb) means "to torment" so together (Quäl-Geist) it can also be "tormented mind"
a small interpretation for you to understand better what the card is about.