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Italy rallied from two goals down with 18 seconds left to force overtime, but Team USA bounced back in the extra shootout session to secure the win.
All-tournament MVP Nikos Papanikolaou and the Cal Bears defeated USC 13-12 on Sunday to win their 15th NCAA championship.
Trojans roll into their 17th straight NCAA Tournament this weekend in Westwood.
Trojans visit the No. 4 Cardinal at 1 p.m. on Saturday at Avery Aquatic Center.
USC had three players — Wyatt Barker, Ashworth Molthen and Carson Kranz — net hat tricks in the win, while goalie Nic Porter hauled in 11 saves in the cage.