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After trying to leave the hospital, go right back over to the front doors and dive out of the way of those coming into the hospital so you can finally get out of the building. The next thing you have to do may be tricky, as it isn't particularly obvious. Once you get a pistol, you'll be near the end of the gameplay for the prologue try to go for headshots and clear the lobby, then run out the hospital door. Most of the mission is simply following "Ishmael" and what he tells you to do as you escape mercenaries and the Man on Fire (along with a particular kid). The patient in the next bed over from you, despite his seemingly worse facial condition, will be more than ready to escape the hospital with you after the events that just occurred.
#Metal gear solid v the phantom pain skull face series
Series director Hideo Kojima is a big fan of movies, and it shows in the Metal Gear Solid series. Regardless of what you feel like looking like, the doctor will not go with the surgery, and you'll be given another cutscene this initial mission is about an hour long with cutscenes, which you shouldn't skip, so there will be a lot of these.