The 22-year-old AC Milan frontman has been ruled out of not only the semi-final against Spain on Thursday, but now also Sunday's final or third-place play-off.
Enrico Castellacci, the head of Italy's medical staff, said on www.figc.it: 'I met with Balotelli this morning. The medical condition is not satisfactory, he cannot recover even for the finals on Sunday.
Goodbye: Mario Balotelli leaving Brazil with his girlfriend Fanny Neguesha
Back to Italy: The forward will miss the rest of the Confederations Cup
Issue: He will be treated for the thigh injury when he gets back
Balotelli picked up his injury in Saturday's 4-2 defeat by hosts Brazil.
Castellacci said midfielder Andrea Pirlo, who missed the Brazil game with a leg injury, had a chance to be fit for the Spain match.
Out: Mario Balotelli battling with David Luiz in Italy's match against Brazil
Looking to: Alberto Gilardino or Stephan El Shaarawy will likely be Balotelli's replacement as striker
Riccardo Montolivo sat out training on Monday after picking up a head injury in the previous night's game, but Castellacci said he was 'fine and available'.
Safe: Riccardo Montolivo sat out training after a head injury against Brazil, but should be fit for Spain
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