Neptune square Lilith (orb 1.6°) creates concrete friction between the two planets. The orb is very tight; this describes a stable character pattern more than a passing reaction.
Here, Neptune in Cancer in House 10 brings imagination, image, popularity, collective moods, and inspiration into House 10 (vocation, status, responsibility, and public image), with Cancer style (memory, protection, belonging, and family sensitivity); Lilith in Aries in House 7 brings pure ideal, absolute demand, fascination, and refusal of compromise into House 7 (relationship, confrontation, and the mirror of others), with Aries style (initiative, speed, confrontation, and direct action).
Concrete friction: this aspect puts Neptune (imagination, image, popularity, collective moods, and inspiration) and Lilith (pure ideal, absolute demand, fascination, and refusal of compromise) into repeated friction: one can interrupt, inhibit, or provoke the other in concrete situations. Visible angle: Neptune near the Midheaven (orb 0.3°) and Lilith near the Descendant (orb 4.4°) touch angles; this aspect is easier to notice through social role, reputation, career, and public image; also through direct relationships, partners, opponents, and the way others are met. House 10 (vocation, status, responsibility, and public image) is in friction with House 7 (relationship, confrontation, and the mirror of others); this can create blockage, inhibition, overreaction, or repeated conflict between the two fields.