Ottilio 'Leo' Cuneo was the Don of the Cuneo Family from 1955 to 1979. He was portrayed by Al Ruscio.

Leo Cuneo became Underboss of the Cuneo Family after his brother Marco was killed, and he later suceeded his father Carmine Cuneo, after he was killed by Corleone family assassin Willie Cicci. Unlike Carmine, Leo maintained a good business relationship with the Corleone family, buying shares of their casinos in Nevada. Cuneo was present at the meeting in Atlantic City, where, shortly after receiving his shares with interest, he was gunned down by Joey Zasa's helicopter.

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