Lazio 2 Inter Milan 3: Stefan De Vrij mistake sees Champions League return to San Siro in dramatic style
The home side, who only needed to draw, were leading 2-1 at half-time after Adam Marusic and Felipe Anderson had scored either side of a Danilo D'Ambrosio effort.
But the game changed when Stefan de Vrij – who has reportedly agreed a move to Inter for next season – gave away a penalty from which Mauro Icardi levelled.
Senad Lulic was sent off for a second booking shortly afterwards and Matias Vecino headed home from a corner with less than 10 minutes remaining to seal a remarkable 3-2 victory.
There had been drama shortly before Icardi's equaliser when Inter were awarded a penalty for a push by Marusic, only for the Video Assistant Referee to overturn the decision.
Victory moved Inter level on points with Lazio, who had a significantly better goal difference, but head-to-head records are used in Serie A meaning Luciano Spalletti's men finished fourth.
Lazio's fierce rivals Roma ended their campaign with a narrow 1-0 win at Sassuolo.
The only goal of the game came in the closing seconds of the first half when defender Kostas Manolas' attempted cross somehow crept in.
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SPAL and Cagliari saved themselves from the possibility of relegation with final-day victories, meaning a return to Serie B for Crotone.
Crotone had to win to have any chance of survival and then hope other results went their way, but neither permutation materialised.
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