*screaming*

The American Mafia operates on a strict hierarchical structure. While similar to its Sicilian origins, the American Mafia's modern organizational structure was created by Salvatore Maranzano in 1931. He created the Five Families, each of which would have a boss, an underboss, capos, and soldiers—all only of full-blooded Italian origin—while associates could come from any background. All inducted members of the Mafia are called "made" men. This signifies that they are untouchable in the criminal underworld and any harm brought to them will be met with retaliation. With the exception of associates, all mobsters within the Mafia are "made" official members of a crime family. The three highest positions make up the administration. Below the administration, there are factions each headed by a caporegime (captain), who leads a crew of soldiers and associates. They report to the administration and can be seen as equivalent to managers in a business. When a boss makes a decision, he rarely issues orders directly to workers who would carry it out but instead passes instructions down through the chain of command. This way, the higher levels of the organization are insulated from law enforcement attention if the lower level members who actually commit the crime should be captured or investigated, providing plausible deniability.

There are occasionally other positions in the family leadership. Frequently, ruling panels have been set up when a boss goes to jail to divide the responsibility of the family (these usually consist of three or five members). This also helps divert police attention from any one member. The family messenger and street boss were positions created by former Genovese family leader Vincent Gigante.

Boss – The boss is the head of the family and is sometimes called the Don or "Godfather". The boss receives a cut of every operation. Operations are taken on by every member of the family and of the region's occupying family. Depending on the family, the boss may be chosen by a vote from the caporegimes of the family, or otherwise overthrown, jailed, or assassinated in order for a new Boss to emerge. When chosen by voting, in the event of a tie, the underboss must vote. In the past, all the members of a family voted on the boss, but by the late 1950s, any gathering such as that usually attracted too much attention. In practice, many of these elections are seen as having an inevitable result, such as that of John Gotti in 1986. According to Sammy Gravano, a meeting was held in a basement during which all capos were searched and Gotti's men stood ominously behind them. Gotti was then proclaimed boss.

Underboss – The underboss, usually appointed by the boss, is the second in command of the family. The underboss often runs the day-to-day responsibilities of the family or oversees its most lucrative rackets. He usually gets a percentage of the family's income from the boss's cut. The underboss is usually first in line to become acting boss if the boss is imprisoned, and is also frequently seen as a logical successor.

Consigliere – The consigliere (counselor) is an advisor to the family and sometimes seen as the boss's "right-hand man". He is used as a mediator of disputes and often acts as a representative or aide for the family in meetings with other families, rival criminal organizations, and important business associates. In practice, the consigliere is normally the third-ranking member of the administration of a family and was traditionally a senior member carrying the utmost respect of the family and deeply familiar with the inner workings of the organization. A boss will often appoint a trusted close friend or personal advisor as his official consigliere.

Soldier (Soldato in Italian) – A soldato or "soldier" is an inducted (or "made") member of the Mafia in general and an inducted member of a particular Mafia crime family, and traditionally they can only be of full Italian background (although today many families require men to be of only half-Italian descent, on their father's side). Once a member is made he is untouchable, meaning permission from a soldier's boss must be given before he is murdered. When the books are open, meaning that a family is accepting new members, a made man may recommend an up-and-coming associate to be a new soldier. Soldiers are the main workers of the family, usually committing crimes like assault, murder, extortion, intimidation, etc. In return, they are given profitable rackets to run by their superiors and have full access to their family's connections and power.