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Watch a creepy new Death Stranding trailer featuring Mads Mikkelsen and Guillermo del Toro

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Seriously, what is happening in this game?

Hideo Kojima took the stage at The 2016 Game Awards to unveil a new cryptic trailer for Death Stranding, the first game from the famous game developer after leaving Konami last year to turn Kojima Productions into an independent studio. Death Stranding is also the first game from the Metal Gear Solid creator since the release of Metal Gear Solid V: The Phantom Pain.

The new trailer joins the first footage unveiled at E3 earlier this year, and shows off more of the mysterious world of Death Stranding. It opens with a shot of Guillermo del Toro (who had been collaborating with Kojima and actor Norman Reedus — who also appears in Death Stranding — on the canceled Silent Hills project) hiding from soldiers and tanks, before revealing that the man is carrying a capsule with a glowing fetus inside.

The footage then shifts to a group of skeletal soldiers being commanded by a black-oil-covered Mads Mikkelsen, who sees a battered baby doll before smiling at the camera to close the trailer. Kojima also tweeted out two new posters for the game following the trailer’s unveiling.

Kojima was attending the The Game Awards to receive this year’s Industry Icon Award, coming on the heels of Konami barring the developer from receiving an award in person for Metal Gear Solid V: The Phantom Pain at last year’s awards.

As to what any of it means? Only time (and Hideo Kojima) can say for sure. Death Stranding has been confirmed for the PlayStation 4, but no release information has been announced.