Board Thread:General Discussion/@comment-5226356-20130618205352/@comment-6747658-20130618234218

Kaini Industries wrote: I certainly hope not, because that is a weak plot device. COD Black Ops should be the final time that device is used in a game - it really played it out appropriately. Hopefully Kojima should know better than that. Well we do not know what plot role he serves in TPP, but we know Ishmael from Moby Dick serves as the narrator of the story, which could possily mean he "narrates" the hospital scene.

Also we've seen Psycho Kid so we know halluciations will be a major thing during the hospital scene, we also know that Kiefer voices Big Boss and that Ishmael's voice is claimed to be Kiefer as well (If not seen any confirmation on that part though). And so far we've seen, there are quite some hints that do indicate that Ishmael is not real.