In classical General Relativity, the values of fields on spacetime are uniquely determined by their values at an initial time within the domain of dependence of this initial data surface. However, it may occur that the spacetime under consideration extends beyond this domain of dependence, and fields, therefore, are not entirely determined by their initial data. This occurs, for example, in the well-known (maximally) extended Reissner-Nordström or Reissner-Nordström-deSitter (RNdS) spacetimes. The boundary of the region determined by the initial data is called the "Cauchy horizon." It is located inside the black hole in these spacetimes. The strong cosmic censorship conjecture asserts that the Cauchy horizon does not, in fact, exist in practice because the slightest perturbation (of the metric itself or the matter fields) will become singular there in a sufficiently catastrophic way that solutions cannot be extended beyond the Cauchy horizon. Thus, if strong cosmic censorship holds, the Cauchy horizon will be converted into a "final singularity," and determinism will hold. Recently, however, it has been found that, classically this is not the case in RNdS spacetimes in a certain range of mass, charge, and cosmological constant. In this paper, we consider a quantum scalar field in RNdS spacetime and show that quantum theory comes to the rescue of strong cosmic censorship. We find that for any state that is nonsingular (i.e., Hadamard) within the domain of dependence, the expected stress-tensor blows up with affine parameter, V , along a radial null geodesic transverse to the Cauchy horizon as T V V ∼ C/V 2 with C independent of the state and C = 0 generically in RNdS spacetimes. This divergence is stronger than in the classical theory and should be sufficient to convert the Cauchy horizon into a singularity through which the spacetime cannot be extended as a (weak) solution of the semiclassical Einstein equation. This behavior is expected to be quite general, although it is possible to have C = 0 in certain special cases, such as the BTZ black hole. arXiv:1912.06047v1 [gr-qc] 12 Dec 2019As we shall show in sec. 3, the behavior of the quantum stress tensor is determined by the trace anomaly and the continuity equation alone. We find that eq. (5) holds, with C ∼ κ 2 c − κ 2 − . Our arguments are technically rather 3 Our arguments rest on the assumption of regularity across the cosmological horizon, or the weaker condition that Tvv vanishes on the cosmological horizon, with v the "Killing parameter". This condition has a natural limit in RN, that of absence of radiation infalling from spatial infinity. It seems natural to discuss the behavior at the Cauchy horizon in terms of such asymptotic conditions, as without asymptotic conditions also the classical consideration of strong cosmic censorship becomes meaningless, as discussed for example in the Introduction to [12]: The domain of dependence of a compact achronal set in any globally hyperbolic spacetime has a Cauchy horizon, across which it is of course smoothly ex...