During Capiregime, the 13th chapter in Mafia The Old Country, Enzo will be ordered to eliminate Matteo Costa. While you can pull the trigger to execute him, you also have the option to refuse. As a game with a linear storyline, the narrative won't be affected by this decision. However, if you opt not to kill him, you can unlock an interesting achievement in the title.
Keep reading to learn more about the options and what happens if you don't kill Costa in Mafia The Old Country.
What happens if you kill Matteo Costa or refuse to do so in Mafia The Old Country?

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Matteo Costa is one of the remaining Spadaro captains who caused a nuisance to the Torrisi empire in Sicily. As the leader of the clan, Don Spadaro, and his ally, Raffaele Fontanella, are eliminated during La Forza Del Destino (Chapter 12), it is time for Enzo and others to go after the others.
After getting rid of Ignazio, Dino Mazzone, and Domizia Caccini in Chapter 13, Enzo, Tino, and Cesare corner Matteo Costa, who has been hiding in a church. While Tino and Cesare will tell you to pull the trigger and eliminate him, Father Ciccone will ask you to forgive him and not perform such an action in God's place.
Also read: Mafia The Old Country Capiregime Chapter 13 walkthrough
Subsequently, you can either shoot Costa or refrain from doing so. Here are the details regarding both choices and their outcomes:
Killing Costa in Chapter 13
Listening to Cesare and shooting Matteo Costa right away will result in his death, and Father Ciccone will show distress. Following that, the storyline will continue as usual, and the chapter will come to a close.
Not killing Costa in Chapter 13
When Cesare and Tino tell you to shoot, don't do anything for about 35 seconds to get a different perspective on the story. This time, Cesare will take the matter into his own hands and kill Costa. Choosing this path will unlock the "Man of Honor" achievement.
Also read: All trophies and achievements in Mafia The Old Country
Which choice makes sense in Mafia The Old Country?

While choosing either option will result in the same outcome, Enzo's decision not to kill Costa after he begged for mercy makes sense at this point in the story.
After being rescued by Don Torrisi and working for him for years, Enzo eventually became displeased with the Mafia's ways. Furthermore, he fell in love with the Don's daughter, Isabella, and was looking to relocate to America with her and start a new life.
Also read: Major character from Mafia 2 returns in Mafia The Old Country
During the final sequence, Father Ciccone asks to show mercy and not kill Matteo Costa in front of the church. Costa also begs for his life, saying he has a wife and a son and that he would leave Sicily after this.
Thus, not opting to kill Costa seems logical, given Enzo's mindset at this point in the story. However, it's totally up to you how you want the narrative to proceed. Kill or refrain, the story remains unchanged; only the viewpoint shifts.
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