Alexandra Pikrammenos, R.N. (Greek: Αλεξάνδρα Πικραμμένος) was a nurse at Dhekelia SBA Memorial Hospital in Cyprus where Venom Snake was being monitored during his coma. Specializing in reconstructive surgery, Pikrammenos had been working at the hospital since at least August 4, 1982.[1]


Phantom Pain Incident

See also: Hospital Escape and Phantom Pain Incident

On February 26, 1984, Pikrammenos was one of the nurses doing their rounds in the hospital room where both Ishmael and Venom Snake were being housed. As she was about to leave, she noticed Venom Snake grunting. After she had confirmed that he had regained consciousness, she rushed out of the room, yelling for a doctor, notifying him that "V" had awakened from his coma. She then made a phone call saying "V [had] come to" (a code for indicating that Venom Snake had woken up) afterwards.

On February 29, three days after Venom Snake's coming to, Pikammenos and Dr. Evangelos Constantinou arrived at Venom Snake's ward, where the doctor conducted basic motor and memory tests. Constantinou's revelation that he had been in a coma for nine years, triggered a shock in Venom Snake which forced the doctor to order Pikrammenos to sedate him while he himself restrained Venom Snake.

On March 4, Pikrammenos asked Venom Snake how he was feeling while she replaced one of his IV pack. She then, alongside Constantinou, aided Venom Snake in sitting upright. After Venom Snake had verified Constantinou's implication that he had lost his left arm in the accident, she was once again forced to sedate him while the doctor restrained him due to Venom Snake going into shock again from the discovery.

On March 9, she had a heated discussion with Costantinou about the upcoming procedure in light of an upcoming raid that was supposed to happen at the hospital in order to kill Big Boss. She then walked away while Constantinou explained that they were to give Venom Snake plastic surgery to hide his identity. Two days after the surgery had been completed, Pikrammenos was killed by Quiet via strangulation by garrote, with Constantinou suffering the same fate shortly thereafter.

Behind the scenes

Alexandra Pikrammenos first appeared in the 2012 Spike Video Game Awards trailer, The Phantom Pain, back when it was advertised as being a separate IP that Swedish developer "Moby Dick Studio" was allegedly making.[2][3] 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 is not verbally named other than being referred to as "nurse" in both English and Greek by Constantinou in The Phantom Pain, her name can be read on her photo ID badge. Also, she is shown to be left-handed.

Pikrammenos was modeled after her motion capture actress Emma Howard. In concept art for the game, Pikrammenos was shown to look significantly deformed while changing an IV, where half of her face looked significantly burned.


Notes and references

  1. ^ Her photo ID badge states that the ID was issued on 4/8/1982. In European date-writing (due to it being in the Greek portion of Cyprus), the day comes first, then the month.
  2. ^ The Phantom Pain [HD] - VGA 2012 Debut trailer - YouTube
  3. ^
Community content is available under CC-BY-SA unless otherwise noted.