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Family name Macko (Macko , Мацко , Мацько ) , in the world, is a common cognomen. The surname Macko is habitual in Eastern Europe, particularly Slovakia, where it is quite a common surname, Ukraine, where it is quite a rare surname, and Belarus. In absolute terms, it most frequently occurs in Eastern Europe, particularly Ukraine, Russia, and Slovakia. Much less frequently, Macko is the forename as well as the last name.