Unless Kojima is keeping it a very big secret, there isn’t any connection between P.T. and Death Stranding. The developer did include a neat Easter egg in the Director’s Cut of the game, however. During a dream sequence, Sam Porter Bridges (Reedus) awakens to find a shadowy figure in his shower. The shadow twitches violently when Sam approaches before attacking him. It’s believed that this figure is meant to be Lisa’s ghost from P.T.