Understanding how galaxies form and evolve is at the heart of modern astronomy. With the advent of large-scale surveys and simulations, remarkable progress has been made in the last few decades. Despite this, the physical processes behind the phenomena, and particularly their importance, remain far from known, as correlations have primarily been established rather than the underlying causality. We address this challenge by applying the causal inference framework. Specifically, we tackle the fundamental open question of whether galaxy formation and evolution depends more on nature (i.e., internal processes) or nurture (i.e., external processes), by estimating the causal effect of environment on star-formation rate in the IllustrisTNG simulations. To do so, we develop a comprehensive causal model and employ cutting-edge techniques from epidemiology to overcome the long-standing problem of disentangling nature and nurture. We find that the causal effect is negative and substantial, with environment suppressing the SFR by a maximal factor of $\sim100$. While the overall effect at $z=0$ is negative, in the early universe, environment is discovered to have a positive impact, boosting star formation by a factor of $\sim10$ at $z\sim1$ and by even greater amounts at higher redshifts. Furthermore, we show that: (i) nature also plays an important role, as ignoring it underestimates the causal effect in intermediate-density environments by a factor of $\sim2$, (ii) controlling for the stellar mass at a snapshot in time, as is common in the literature, is not only insufficient to disentangle nature and nurture but actually has an adverse effect, though (iii) stellar mass is an adequate proxy of the effects of nature. Finally, this work may prove a useful blueprint for extracting causal insights in other fields that deal with dynamical systems with closed feedback loops, such as the Earth's climate.