The game is a direct sequel that continues the story of the previous game - Medal of Honor. The player will continue to monitor Tier 1 operators through various scenarios including hostage rescue, the Abu Sayyaf - fortress in the Philippines аnd the attack on Al-Shabab - pirate town on the shores of Somalia.
Missions will be based on several recent events and they will be the main story line that connects them. Characters from the previous game Medal of Honor - Mother, Preacher, Voodoo, and many others will return in the sequel. The storyline of the game reveals the Tier 1 Operator, Preacher returns home to find his family. The main mission is to track down dealers with deadly explosive known as "PETN".