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Despite a growing workforce, talented LGBT+ individuals are likely to leave STEM programs before degree completion and STEM careers after experiencing the workforce. LGBT+ individuals may leave due to issues with safety, harassment, and limited career opportunities. Yet, some decide to stay in the face of these difficulties. What factors influence whether LGBT+ individuals ultimately make the decision to leave STEM? To understand these factors, we interviewed LGBT+ individuals who left STEM in some way. Pressure to hide their identities, misalignment between professional and personal values, and factors not directly related to their LGBT+ identity have led to STEM departure. By understanding how these factors are weighed in the decision-making process, we can identify the most important targets for retention.