Metal Gear Solid V: The Phantom Pain - S-Rank Walkthrough - Mission 18: Blood Runs Deep

Metal Gear Solid V: The Phantom Pain S-Rank Walkthrough Playlist:    • Metal Gear Solid V: The Phantom Pain ...  

Mission 18: Blood Runs Deep
It's highly recommended that you get the Fulton +Children upgrade before doing this S-rank. You must beat side op 113 to develop it (which is unlocked after story mission 26). Eliminate the target in the first enemy camp. Then head on to the mines, bring a silenced sniper rifle and kill everyone there. Use the fulton device to extract the children and call in the helicopter (if you've destroyed the anit-air radar you can call it directly to the mines).


There are two golden rules for getting S-ranks:
1. Don't try it on your first playthrough (a lot of strategies only work when replaying missions and you will unlock better gear over the course of the game).
2. Skip all cutscenes to save time (yes, cutscenes add to your time and will greatly reduce your points!)

S-Rank Strategies, basic tips and things you should know:
Getting 130,000 points in a mission unlocks the S-rank (same score requirement for all missions)
Only main missions have a ranking system, side ops don't. Main missions 02, 22, 43 are an exception, they don't have any ranks. There are 50 main missions in total.
Completing the missions as quickly as possible without being seen is usually good enough. Skip the bonus objectives, they take too long and will complicate things.
Equipping the Stealth-Suit, Parasite-Suit, Chicken-Hat, Bandana, using D-Walkers Fulton Extraction or calling in air strikes / helicopter support will void the S-rank. With these items you are limited to A-rank at best. So don't use them!
On your first playthrough of the missions, always try to take out the enemy radar stations. This gives you a huge tactical advantage because you can call the extraction helicopter directly to the enemy base (or start the mission there).
S-Ranks earn you a lot more money and heroism than lower ranks

With these tips in mind you should have very little trouble following these video guides and obtaining all S-ranks. Be warned, however, that the game uses a variable difficulty system. If you use a lot of headshots, enemies will get helmets. If you always infiltrate at night, enemies will get night vision goggles. If you always use sleeping grenades, enemies will wear gas masks etc.
In this walkthrough series I stick to the basics to make it as easy to replicate as possible. These guides are fairly spoiler free as I skip the cutscenes to save time.

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Metal Gear Solid V: The Phantom Pain Trophies and Achievements:

Apprentice
Completed a mission using a Combat Unit staff member.

Accomplished
Completed all missions.

Executed
Completed all mission tasks.

Elite
Completed all missions with an S rank.

Undertaken
Completed a SIDE OP.

Cleared
Completed all "Mine Clearing" SIDE OPS.

Achieved
Completed all SIDE OPS.

Captured
Captured an outpost or guard post.

Search-and-Destroy
Captured all outposts and guard posts in Northern Kabul, Afghanistan.

Sweep-and-Clear
Captured all outposts and guard posts in the Angola-Zaire Border Region.

Deployment
Completed all key Dispatch Missions.

Intruder
Played an "Infiltration" FOB mission.

Cry Havoc
Made D-Dog available for deployment.

Speechless
Made Quiet available for deployment.

Trusty Steed
Raised bond with D-Horse to the maximum.

Man's Best Friend
Raised bond with D-Dog to the maximum.

War Buddy
Raised bond with Quiet to the maximum.

Extraction
Fulton extracted an enemy soldier.

Interrogation
Interrogated an enemy soldier.

To The Rescue
Extracted a female prisoner.

Platoon
Increased Mother Base staff to 50 or more personnel.

Battalion
Increased Mother Base staff to 250 or more personnel.

Army
Raised all Teams/Units to level 99.

Enhancement
Developed 50 or more development items.

Reinforcement
Developed 100 or more development items.

Locked and Loaded
Developed 300 or more development items.

Architect
Constructed all available platforms for Mother Base.

Deterrence
Developed a nuclear weapon.

Disarmament
Disposed of a nuclear weapon.

Prosperity
Earned a total of 10,000,000 GMP or more.

Conservation
Extracted all wild animal species.

Collector
Obtained all blueprints and key items.

Reminiscence
Obtained all memento photos.

Hero
Obtained the codename "Hero."