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Born into a traditionally large Irish household, Sean, like all his brothers, sustained beatings from their father until his elder brother Donnie beat him up. From then on, the young men were taken care of by their sister Kelly, until they disowned her for shacking up with Luca Brasi.
In 1933, the three O'Rourkes tried to shoot Brasi, but they failed, and Brasi succeeded in blinding Donnie, the oldest. A second opportunity came when he was hired by Giuseppe Mariposa to kill Vito Corleone in 1934, but on this occassion Sean was shot and killed.