Mission 46 is treated as the true ending of MGSV. It's quite peculiar as you will be told to repeat the prologue (0-Awakening). You are basically do the same things as on the first time and any changes appear only in some of the cutscenes. Mission 46 however, ends earlier than the Awakening. You won't be escaping on the horse from Man on Fire.
Important Note! Don't forget to watch additional cutscene which plays after mission summary.
Tasks in the mission
- OPTIONAL (1/2): Eliminate 6 soldiers at the hospital entrance) - Soldiers refer to the enemies in the hall, right before leaving the building. You can use the default pistol or some better gun you will pick up from an enemy.
- OPTIONAL (2/2): Land 20 or more shots on the Man on Fire - Start attacking him right away as he appears in the hospital hall. Use the covers and take any additional ammunition from the enemies nearby. Leave the hospital as soon as you land 20 shots on target (as by no means you will be able to defeat him).
Important Note! On the task list the main task does not appear. This would be escaping the hospital.
You can't prepare to this mission. You will begin the same you did in mission 0. Later on you will be given a pistol.