Bloodletting is a side tale in Ghost of Tsushima: Iki Island. It follows directly after "Troubled Waters".
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Sugi revealed she was once a member of Yamaneko's Crew, a band of raiders who have gained hwachas from the Mongols. After I helped her stop their attack on her village, she agreed to help me break up their alliance.
― Jin's journal, before starting the Tale
Yamaneko and his raiders have allied with the Mongols and are turning hwachas against their own people. I have allied with a woman named Sugi to stop them. She will row out to attack Yamaneko's ship while I assault a beachside meeting between raiders and Mongols. If we make it look like the raiders have betrayed the Mongols, they should turn on each other.
― Jin's journal, after starting the Tale