Speaking on stage during Kojima Productions' presentation on its new Fox engine, director Hideo Kojima says Metal Gear Solid V is both Metal Gear Solid: Ground Zeroes and The Phantom Pain combined. Snake has been in a coma for nine years, and awakens in hospital at the start of the game alongside Ishmael, the figure from The Phantom Pain whose face is in covered in bandages.

During the gameplay demo, which is set in the Metal Gear Solid V's tutorial level, Snake can't walk or move properly due to his comatose state. When he regains his mobility Metal Gear Solid V will become an open-world game, says Kojima.

Showing the first trailer for Metal Gear Solid V, footage from previous Ground Zeroes and The Phantom Pain trailers were spliced together alongside a handful of new scenes. Longtime series character Kazuhira Miller is also seen in the trailer.

It is currently unclear if David Hayter is reprising his role as Snake.

Kojima Productions .

The game was shown running on PC using Kojima's new FOX Engine, but the trailer showed logos for the Xbox 360 and PlayStation 3.