Otto continued his love affair with Italy when he sealed his third European Tour title, and second in the Mediterranean country, at the 71° Open D’Italia Presented by DAMIANI. A fine second round 62 helped the South African hold off strong challenges from David Howell and Stephen Gallacher. Had multiple victories in South Africa before finally making his breakthrough on The European Tour in May 2008 when, just a matter of weeks after relinquishing a five-shot lead going into the final day of the Madeira Islands Open BPI – Portugal, he survived a late charge from England’s Oliver Wilson to win the Methorios Capital Italian Open by one stroke. Added a second victory three years later at the 2011 SA Open Championship. Required a Medical Extension at the end of 2002 following a back operation. Secured his playing rights on The 2004 European Tour International Schedule with the help of a top ten finish in The 132nd Open Championship, his first appearance at a Major Championship, and a tie for fifth in the Trophée Lancôme in 2003. Victories in his homeland include the prestigious South African Tour Championship in 2003. One of the first South Africans to work with renowned sports psychologist Jos Vanstiphout, who sadly died in December 2013.