Italy's Daniele de Rossi has been banned for four matches and fined €4,500 for elbowing USA's Brian McBride.
FIFA's disciplinary committee announced the decision today, and also imposed a three-match ban on the USA's Pablo Mastroeni for his red card in the same match.
It means de Rossi will miss the rest of the World Cup unless Italy make it to the final and recall the Roma midfielder.
'FIFA told us they gave him a four-match ban rather than a five-match ban because they appreciated the letter De Rossi wrote them apologising for his actions,' said the Italian Football Federation's media spokesman Antonello Valentini.
Serbia and Montenegro's former Chelsea midfielder Mateja Kezman has been given a two-match ban after his red card for a wild lunge on Argentina's Javier Mascherano.