Cognomen Матцко (Matsko 
, Матцко 
) , in the world, is a rare last name. The surname Матцко is characteristic of Estonia, where it is quite a rare surname, Belarus, where it is a rare surname, and the United States. In absolute terms, it is commonest in the United States, Russia, and Belarus.
| VARIANT | COUNTRY |
|---|---|
| Matsko | Romania, Russia, Estonia, Belarus, United States |
| Матцко | Kazakhstan, Russia |