Aka Variable Valve Timing (VVT), Very important sensor as it controls how much oil needs to be circulated in your engine. It will cause loss of power, you’re car will have increased MPG (because the engine will be working harder than it needs to) and you’ll have rough idle. You want to make sure it’s working properly. It’ll do more damage in the long run if ignored. I replaced mine and for some reason got the P0021 code.