Mafia: The Old Country tells the story of Enzo Favara, a young Sicilian who leaves a life of forced labor in the sulfur mines to join the Torrisi crime family in early 20th-century Sicily. Set in the fictional town of S. Celeste, the game explores the origins of organized crime through cinematic storytelling and action and stealth elements, focusing on Enzo's rise and his journey to becoming a loyal member of the Mafia.