The Diamond Dogs have arrived at the Commonwealth, ladies and gentlemen.
What you're looking at above is not a photoshop. Actually, it's a Fallout 4 mod that lets you play as Metal Gear Solid characters, and you can download it here.
To some of you, this might seem like an odd combination, but let's be real here. The only way Quiet could be such a good sniper in the first place is if she was using VATs with MacCready's Killshot perk. Duh.
Using the mod, you can equip a variety of MGS equipment, including gear, clothes, faces, and suits. Behold: