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The objective of this chapter is to explore the implications of the COVID-19 pandemic for organized crime in the Italian scenario. Most of the studies considered have focused on the first wave of the pandemic (March-October 2020), which is the one in which the harshest restrictions and strongest impact on the economy were found. This work analyzed, on the one hand, the impact of COVID-19 on the typical activity of organized crime groups (OCGs), in terms of reduction or increase; on the other hand, it analyzed how OCGs benefited from the pandemic by adopting new strategies to deal with global crises. The results shared are supported by the main operations of the State Police recorded in the period 2019-2022. At the end, it was decided to provide a brief excursus on the main criminological theories developed in the context of organized crime to facilitate a more technical reading of the activities perpetrated in relation to the pandemic.