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On 18 February 2019, Berizzo was named Paraguay's new coach after Juan Carlos Osorio's resignation. At the year's Copa América in Brazil, he led the team to the quarter-finals where they were eliminated on penalties after a goalless draw with the hosts.

Berizzo returned to active on 31 May 2018, being appointed at Athletic Bilbao. After winning only two of his 15 competitive matches in charge and with the team in the relegation zone, on 4 December of the same year he was dismissed.

On 27 May 2017, Berizzo was confirmed as the new manager of Sevilla FC, replacing countryman Jorge Sampaoli who accepted the Argentina job. On 22 November, the club announced he had been diagnosed with prostate cancer; a month later, he was fired due to the team's poor run. Much of his short time at the club was recorded in the Amazon Prime television documentary series Six Dreams, in which he was one of its stars.

On 19 May 2014, shortly after winning the Supercopa de Chile against Deportes Iquique, again on penalties, Berizzo returned to Celta but as a manager, replacing FC Barcelona-bound Luis Enrique. In his third year, he coached them to the last-four stage in both the Copa del Rey and the UEFA Europa League.

In 2012, Berizzo was appointed head coach at O'Higgins FC, and achieved runner-up honours in his debut season, losing the final against Club Universidad de Chile in a penalty shootout. On 10 December 2013 he led the team to the 2013 Apertura, this being the first title in the club's 58-year history.

When Marcelo Bielsa took over as Chile manager in July 2007, Berizzo became assistant manager. On 10 October 2009, in a World Cup qualifier against Colombia (4–2 away win), he was ejected alongside Fabián Orellana and eventually received a four-match ban, not being present on the bench for the entirety of the final stages in South Africa.

Berizzo represented Argentina in two Copa América tournaments. He started working as a manager in 2007, first as an assistant in the Chile national team.

In the 2003–04 campaign, Berizzo was sent off four times, twice in the last two rounds, as Celta eventually dropped down a level. He also appeared in five matches in a round-of-16 run in European competition, eventually losing his importance and being released in June 2005 at nearly 36.

Berizzo played his last international on 15 November 2000, in the 2002 World Cup qualifier against Chile, appearing seven minutes in a 2–0 away win. He broke his ankle in February 2002, completely ruling him out of the final stages in South Korea and Japan.

In 1996, Berizzo returned to his country, joining national powerhouse Club Atlético River Plate. His solid performances eventually attracted the attention of French side Olympique de Marseille, but he did not settle in the club or the country, being loaned to his former team in January 2000.

Berizzo made his debut for Argentina in the 1998 FIFA World Cup qualifying stage against Venezuela, on 9 October 1996. He was picked up for the squads for the 1997 Copa América – only playing in the quarter-final loss to Peru, being sent off after two yellow cards– and the 1999 Copa América, where he was not used.

Born in Cruz Alta, Marcos Juárez, Córdoba, Berizzo started his career with Newell's Old Boys in 1988. He helped to two Primera División titles before his departure to Mexico for Club Atlas, five years later.

Manuel Eduardo Berizzo Magnolo (American Spanish: [eˈðwaɾðo βeˈɾiso] ; born 13 November 1969) is an Argentine retired footballer who played as a central defender, and the current manager of Paraguay.