In this Death Wish, the player must battle the Mafia Boss once again, but with the difficulty increased. It takes longer for him to become vulnerable, all of his 'charge' attacks are quicker and harder to dodge, and overall, defeating him is a very difficult task to achieve.
The Death Wish's two bonuses add to the difficulty quite a bit. The first Death Wish requires the player to be quick every time the Mafia Boss is vulnerable, as he doesn't stay in this state for long. The second one requires the player to not take damage at all, which is an extremely hard task, since the attacks can be hard or near impossible to dodge at times.
- Apparently, the running gag of Mafia Boss trying to get a new body (Since you destroyed it) has come full circle, as Snatcher says that this is his new body.
- "Don't miss your cue to attack!" will fail if the Mafia Ball makes two complete passes across the stage, even though Mafia Boss will remain blue indefinitely.