Waiting on the other side is a hellish landscape where victims of the infection have transformed into grotesque creatures known as Wanderers. The soldier then travels alone to the same parallel world to find a cure for this infection, and to rescue those sucked into the wormhole half a year ago. You're already infected with that lifeform I was telling you about.' A member of this organization, a man known as Goodluck, gives the soldier a special assignment with the following order: 'You don't get to sit this one out. The soldier then mysteriously loses consciousness, waking up six months later in a facility belonging to Wardenclyffe Section, a secretive research organization of the United States government. A close friend of the soldier, however, isn't as lucky. A soldier who helped Big Boss get away is almost pulled into it as well, but manages to escape. The wormhole begins to suck up everyone and everything left, transporting them to some parallel world.

A moment after Big Boss escapes the area by helicopter, an intense light appears in the sky, and a wormhole opens over the base. His soldiers put up a desperate fight, but their efforts are in vain, as Mother Base falls. Under the guise of a nuclear inspection by the IAEA, a hostile force known as XOF launches a surprise attack on Mother Base, Big Boss's base of operations. The legendary mercenary Big Boss leads an army that belongs to no nation. Cold War tensions continue to ease, and the Vietnam War is in its final days. Should players take harm, their wellbeing meter can be completely recovered using wellbeing pick-ups.The year is 1975. In battle, auto-point can be utilized as help against enemies.

Players may run, hop or utilize vehicles to explore the game’s world. Liberty City is made out of three districts: Portland, Staunton Island, and Shoreside Vale the islands are opened to players as the story progresses. Outside of missions, players can unreservedly roam the game’s open world and can finish optional side missions. It is desirable to have a few dynamic missions running at one time, as a few missions expect players to wait for further guidelines or events.

In the gameplay, the players finish missions straight situations with set goals to advance through the story.

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