From the publisher’s rulebook
Who goes first in La Cosa Nostra?
Quined Games / Hard Boiled Games English rules, 2014

The player who most recently committed a crime starts and takes the starting-player token.
Rule details
At the end of a round, the starting-player card passes clockwise to the next player.
Source & edition
- La Cosa Nostra: English rulebookQuined Games / Hard Boiled Games · Start, final bullet; Changing the start player · Checked 2026-09-24Printed page references: 3, 8
Image: © Quined Games / Hard Boiled Games and any cover-art licensors or artists (precise ownership not stated in PDF) · Quined Games / Hard Boiled Games
If your rules call for a random choice, use the player picker.
If there’s a tie
The rulebook doesn’t say. If you need a tie-break, pick a player at random.
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