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Acosta received his first senior call-up by coach Jorge Sampaoli on 27 August 2017, for 2018 FIFA World Cup qualifiers against Uruguay and Venezuela. He earned his first cap against the former four days later, coming on as a substitute for Marcos Acuña at the hour-mark of an eventual 0–0 away draw.

After appearing in six out of seven games in the under-20s triumph in Canada, Acosta scored against Ivory Coast in a 2–1 group stage win in the Beijing Olympic tournament, en route to another international conquest. He was selected by the full side for a Copa América Centenario provisional squad, but did not make the final cut.

Acosta returned to his country in 2012, going on to represent Boca Juniors and former club Lanús. He was a key attacking element in five of the six titles won after his return, including the 2016 national championship; in October 2014, whilst at the service of the latter, he was kidnapped, threatened at gunpoint, assaulted and robbed after being led to his home.

On 4 February 2009, Acosta scored his first – and only – goal for Sevilla, in the first leg of the Copa del Rey semi-finals, a 2–1 home win against Athletic Bilbao but an eventual 2–4 aggregate loss. In July 2011 he was loaned to fellow league side Racing de Santander, joining compatriots Ariel Nahuelpan and Héctor Cúper (manager); he started and netted on his official debut for the Cantabrians, in a 3–4 away loss to Valencia CF.

He started his professional career at Lanús, making his debut with the first team at 18. He also spent some time in the Spanish La Liga, signing with Sevilla in 2008.

On 29 May 2008, aged 20, Acosta signed for La Liga team Sevilla FC on a five-year contract, for a reported fee of €7 million subject to a medical. Shortly after his arrival in Andalusia, he suffered a serious injury and never fully recovered, his best output consisting of ten league games in 2010–11 (267 minutes, only two starts).

Acosta was part of the Lanús squad that won the 2007 Apertura tournament, their first ever Primera División title. In May 2007, he suffered a serious cheekbone injury, and had to wear a specially-fitted face mask for two months.

In 2007, Acosta was picked to join the Argentina under-20 squad to compete in the 2007 South American Youth Championship in Paraguay. He headed the only goal in the last game against Uruguay, to secure the national team's qualification for both the 2007 FIFA U-20 World Cup and the 2008 Summer Olympics.

Lautaro Germán Acosta (born 14 March 1988) is an Argentine professional footballer who plays for Club Atlético Lanús and the Argentina national team as a forward.