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Capone's lifestyle came with personal costs. During his early years in Chicago, he contracted syphilis, which worsened over time and ultimately affected his mental health. The combination of untreated syphilis, coupled with extensive substance abuse, played a significant role in his eventual decline.
As law enforcement ramped up efforts to bring him down, Capone became increasingly vulnerable. The IRS, recognizing that illicit lifestyles were unsustainable under legal scrutiny, pursued tax evasion charges. In 1931, Capone was convicted, leading to his imprisonment. His time in Alcatraz and later prisons coincided with a steady deterioration of his health.