Mafia: The Old Country is a third-person action-adventure video game set in early 1900s Sicily that explores the origins of organized crime within the Mafia franchise. Players control Enzo Favara, a new character, as he rises through the ranks of a Sicilian crime family, experiencing a narrative-driven experience with third-person shooting, stealth, and horseback riding. The game features a focus on story and atmosphere over an open-world structure, immersing players in the period with authentic visuals and details of the dangerous Sicilian underworld.