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PSV Eindhoven came from behind to beat Sampdoria 2-1 and book their place in the last 32 of the Europa League and also knock the Italians out of contention.
Giampaolo Pazzini put Samp ahead in the first half at the Luigi Ferraris stadium but Ola Toivonen equalised in the 51st minute before scoring his second at the death.
Sampdoria ended the match with 10 men after Guido Marilungo was sent off in the 89th minute for a second yellow card.
The result in Genoa left the Italians third in Group I and unable to catch second-place Metalist Kharkiv, who won 2-1 over Debrecen.
Samp take on Debrecen on December 16 while PSV host Metalist, who lie three points behind the Dutch.
The hosts went into the encounter in buoyant mood after holding Serie A leaders AC Milan to a 1-1 draw at the weekend.
They were unlucky not to take an eighth minute lead after Marilungo4s right-footed shot from the edge of the area struck the far post.
At the other end, Samp goalkeeper Gianluca Curci made his first save to clear Balazs Dzsudzsak4s effort from distance.
Midway through the first half, play was stopped for eight minutes when the stadium lights went out.
Once play resumed, Daniele Dessena4s 15-yard strike went over the bar.
Samp broke the deadlock soon after.
There was nothing PSV Eindhoven goalkeeper Andreas Isaksson could do after Pazzini headed Reto Ziegler4s cross into the very corner of the net.
The Dutch side increased the tempo after the re-start and their efforts were rewarded soon after when Toivolen4s powerful header from Ibrahim Afellay4s cross beat Curci.
Samp should have hit back on the hour mark.
Pazzini did well to get a touch on Daniele Gastaldello4s cross but his header was met by a fine save from Isaksson.
Seconds later, Wilfred Bouma nodded narrowly over the bar as PSV looked more dangerous.
The visitors took the lead one minute from time.
Toivonen4s 12-yard strike towards the left post beat Curci.
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