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Events of GTA San Andreas
Johnny and the Sindaccos are expanding their business interests into Las Venturas. When CJ first arrives in Las Venturas at Wu Zi Mu's recently opened casino, Johnny had been caught vandalising some of the slot machines. As Woozie's men are about to "get rid of" Johnny, Carl intervenes and instead; has Johnny tied to the front of a car, stomach down, facing the front windshield. Carl then drives the Feltzer around the city recklessly in order to frighten Johnny into telling him his name; which identifies the crime family he belongs to.
Having been traumatized by the experience, Johnny spends time recovering in the hospital. At one point, some Forelli thugs hijack Johnny's ambulance in order to kill him. As Carl is helping Ken Rosenberg to prevent a war breaking out between the Leone Crime Family, Forelli, and the Sindacco families, Carl steals the ambulance back from the Forelli thugs and drives Johnny back to safety.
However, when Carl later accompanies Ken to a meeting with Johnny, Johnny recognizes Carl, and not having fully recovered from his trauma, dies from a shock-induced heart attack, leading to a massive vengeful attack by Sindacco members.
- GTA San Andreas