Neptune opposite Lilith (orb 0.7°) puts the two planets face to face, with visible back-and-forth or tension. The orb is extremely tight; this aspect is one of the chart's strongest signals.
Here, Neptune in Scorpio in House 12 brings imagination, image, popularity, collective moods, and inspiration into House 12 (retreat, contemplation, long time, and possible confinement), with Scorpio style (intensity, desire, crisis, secrecy, and invisible power); Lilith in Taurus in House 6 brings pure ideal, absolute demand, fascination, and refusal of compromise into House 6 (daily work, technique, and bodily discipline), with Taurus style (nature, good food, physical sensuality, roots, resources, and perseverance).
Concrete conflict: this aspect sets Neptune (imagination, image, popularity, collective moods, and inspiration) across from Lilith (pure ideal, absolute demand, fascination, and refusal of compromise), with a back-and-forth that answers or contradicts itself. Visible angle: Lilith near the Descendant (orb 5.9°) touches an angle; this aspect is easier to notice through direct relationships, partners, opponents, and the way others are met. The house conflict is between House 12 (retreat, contemplation, long time, and possible confinement) and House 6 (daily work, technique, and bodily discipline); pressure in one field tends to reactivate the other.