Alexandra Pikrammenos

Alexandra Pikrammenos was a nurse at the Dhekelia SBA Memorial Hospital in Cyprus where Venom Snake was being monitored during his coma.

The Phantom Pain
On February 26, 1984, Alexandra Pikrammenos was, alongside another, brown-haired nurse, doing her rounds in the hospital room where both Ishmael and Venom Snake were being housed, including checking up on the former and replacing some Star of Bethlehem flowers near his bedside. However, as she was about to leave, she noticed Venom Snake grunting, and after he grunted to indicate he heard her, she rushed out the room to yell for the doctor in Greek to notify him that he had awakened from his coma, knocking a radio over in the process. Presumably, she made a phone call saying "V has come to" (code for Big Boss, or rather, Venom Snake having awakened) afterwards.

On February 29, three days after Snake's coming to, she alongside Dr. Evangelos Constantinos, MD arrived at Snake's ward, and observed the doctor having Snake conduct basic motor and memory tests. After Constantinos informed Snake that he had been in a coma for nine years, it triggered a shock in Snake which forced her to sedate him while Constantinos restrained him.

On March 4, the nurse asked Snake how he was feeling after regaining enough of his composure to accept his originally being in a coma as well as replacing an IV pack. She then alongside Constantinos aided Snake in getting out of the bed. She then listened while managing the bed to Constantinos explaining to Snake about the injuries he had sustained from the attack on Mother Base nine years earlier that placed him in a coma. After Snake verified Constantinos' implication that he had lost his arm in the accident, she was once again forced to sedate him while the doctor restrained him due to Snake going into shock again from the discovery.

On March 11, the nurse entered a heated discussion with Costantinos in Greek about the upcoming procedure in light of an upcoming raid at the hospital to kill Big Boss, but quit talking after they noticed he had regained consciousness. She then observed Constantinos explaining that they were to give him plastic surgery to hide his identity. However, she was then killed by a female assassin via strangulation by garrote, with Constantinos being killed shortly thereafter.

Behind the scenes
Alexandra Pikrammenos first appeared in the VGA 2012 trailer, The Phantom Pain, back when it was advertised as being a separate IP that Swedish developer "Moby Dick Studio" was allegedly making. She later appeared in the same scene as in the VGA trailer for the GDC 2013 trailer of Metal Gear Solid V: The Phantom Pain.

Although Pikrammenos was not verbally named in The Phantom Pain, her name can be read on her ID card.