Defeat The Pain
Collect every type of frog
Create the Ocelot Time Paradox
Submit Ocelot
Shoot a Kerotan for the first time
Use bees to harass an enemy
Collect every type of fruit
Call every Healing Radio frequency
Call one Healing Radio frequency
Make Snake throw up
Achieve a camouflage index of +90%
Eat a snake of any type
Capture any animal alive
Collect all trophies
Defeat The Fear
Defeat The End
Defeat The Fury
Defeat The Sorrow
Defeat Shagohod
Defeat Volgin in a fist fight
Defeat The Boss
CQC Slam a guard and knock him out
CQC Interrogate an enemy
CQC Hold up an enemy
CQC Slit an enemy's throat
Use a knife to remove a bullet
Catch a glimpse of Ocelot, who's seen behind the president when he tries to shake Snake's hand
See all of the first-person views that are not indicated by the R button icon
Collect every type of medicinal plant
Collect every type of mushroom
Collect every type of bird
Collect every type of snake
Collect every type of fish
Achieve a camouflage index of 100%
Poison a guard
Blow up a munitions shed with TNT
Use the Fake Death pill
Catch a Tsuchinoko (mythical serpent)
Find every type of camouflage
Find every type of face paint
Kill The End before the boss battle
Sneak up on The End and hold him up
Obtain title of MARKHOR
Find all 64 Kerotans
Finish the game on any difficulty
Finish game without killing anyone