Metal Gear Solid 4: Guns of the Patriots spoilers


Naomi Hunter was alive at the end of the game.


I think she faked her death, the cancer was a cover story, and the syringe bit was serious overacting to sell the idea she died. Nobody ever confirms she really had cancer as she clamed, and it fits her character perfectly to be deceptive in that manner. Also keeping in mind she’s responsible for the nanomachine issues, and Ocelot abducting her from jail proves she’d be at risk of being used like that again (whether by a government or some group) her whole life if people knew she was alive.