The Mid-infrared E-ELT Imager and Spectrograph (METIS) for the European Extremely Large Telescope (E- ELT) consists of diffraction-limited imagers that cover 3 to 14 microns with medium resolution (R 5000) long slit spectroscopy, and an integral field spectrograph for high spectral resolution spectroscopy (R 100,000) over the L and M bands. We present our approach for high contrast imaging with METIS, covering diffraction suppression with coronagraphs, the removal of residual aberrations using QACITS1, 2 and Phase Sorting Interferometry (PSI),3 and simulations demonstrating the expected contrast.