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Genovese, Gambino, Bonnano, Colombo, and Lucchese. For decades these Five Families ruled New York and built the American Mafia (or Cosa Nostra) into an underworld empire. Today, the Mafia is an endangered species, battered and beleaguered by aggressive investigators, incompetent leadership, betrayals, and generational changes that produced violent, unreliable leaders and recruits.