Tonight at the Spike Video Game Awards, a trailer premiered for new game, "The Phantom Pain." The game is coming from a developer called Moby Dick Studio, and revolved around a hospitalized patient hiding from a group using lethal force against the patients. And then things get weird.
The one-armed man is led by another patient with a bandaged face, and the situation progressively gets worse and more dreamlike. It culminates in what we have to assume was a flaming whale, which may make sense of the whole "Moby Dick" thing.
According to its official site, Moby Dick is a developer based out of Stockholm, Sweden. The company Web site specifically mentions PlayStation 3 and Xbox 360, so it's a safe bet those are the target platforms for Phantom Pain.
Update: Skip to 10:45 to see the debut trailer.