Mount Etna in Sicily (Italy) shows >2500years of interactions between volcanic eruptions and human activity, and these are well documented in historical sources. During the last 400years, flank eruptions have had major impacts on the urban fabric of the Etna region, especially in 1651–54, 1669, 1923 and 1928, and it is the last of these which is the focus of this paper. A detailed field and historical reconstruction of the 1928 eruption is presented which allows three themes to be discussed: the evolution of the flow field, lava volume and average magma discharge rate trend; the eruption's human impact, particularly the destruction of the town of Mascali; and the recovery of the region with re-construction of Mascali in a new location. Detailed mapping of lava flows allowed the following dimensions to be calculated: total area, 4.38×106m2; maximum length, 9.4km; volume, 52.91±5.21×106m3 and an average effusion rate of 38.5m3s−1. Time-averaged discharged rates are calculated allowing the reconstruction of their temporal variations during the course of the eruption evidencing a high maximum effusion rate of 374m3s−1. These trends, in particular with regard to the Lower Fissure main phase of the eruption, are in accordance with the ‘idealized discharge model’ of Wadge (1981), proposed for basaltic eruptions driven by de-pressurization of magma sources, mainly through reservoir relaxation (i.e. elastic contraction of a magma body). The eruption took place when Italy was governed by Mussolini and the fascist party. The State response both, during and in the immediate aftermath of the eruption and in the years that followed during which Mascali was reconstructed, was impressive. This masked a less benign legacy, however, that can be traced for several subsequent decades of using responses to natural catastrophes to manufacture State prestige by reacting to, rather than planning for, disasters.