Keisha's Dilemma continues in The Ultimate Dilemma. During the summer after graduating from college, Keisha’s complex life gets worse. Her high-school sweetheart Derek is in jail, and her ex-boyfriend Clarence has gotten her best friend Amber pregnant. Confused and frustrated, Keisha decides to start her life over. On her quest to start fresh, Keisha takes the reader on a roller-coaster ride of emotions and lifestyle changes as she considers a homosexual relationship, taking her own life, marrying Clarence, hurting Amber, and becoming a Christian.