The two teams had met in 10 previous matches, most recently in 2009 in the CONCACAF – CONMEBOL play-off, won by Uruguay 2–1 on aggregate to qualify for the 2010 FIFA World Cup.
[3] Uruguay led the game 1–0 at half time, through an Edinson Cavani penalty after Diego Lugano was pulled down in the box by Júnior Díaz.
In the second half, Joel Campbell equalised with a low shot to the right corner when the ball fell to him in the box after a deep cross from Cristian Gamboa on the right.
Soon afterwards, Costa Rica went into the lead when Óscar Duarte scored with a low diving header to the right corner after a free kick from Christian Bolaños.
Italy went ahead first, when from a short corner, Andrea Pirlo dummied Marco Verratti's pass, and Claudio Marchisio scored with a low right footed shot from outside the penalty box.
The scores were level at 1–1 at half time, but Mario Balotelli headed Italy's winner from close range five minutes after play resumed from a cross by Antonio Candreva on the right.
Suárez later secured Uruguay's victory, receiving the ball from goalkeeper Fernando Muslera's clearance which flicked off Steven Gerrard, and shot home his second goal of the match powerfully with his right foot.
Late in the first half, Joel Campbell had a clear penalty appeal denied, but Costa Rica nevertheless took the lead within a minute, as Júnior Díaz crossed from the left for Bryan Ruiz to head the ball onto the crossbar and over the line from close range.
[20] Man of the Match: Bryan Ruiz (Costa Rica) Assistant referees: Carlos Astroza (Chile) Sergio Román (Chile) Fourth official: Néant Alioum (Cameroon) Fifth official: Djibril Camara (Senegal) The two teams had met in eight previous matches, including twice in the FIFA World Cup (1970, group stage: Italy 0–0 Uruguay; 1990, round of 16: Italy 2–0 Uruguay).
Their most recent meeting was in the 2013 FIFA Confederations Cup third place match, won by Italy 3–2 on penalties (2–2 draw after extra time).
[42] As England could no longer advance to the knockout stage, their manager Roy Hodgson made nine changes to the starting line-up with Frank Lampard captaining the side.