Atletico Madrid claimed a first La Liga derby win against Real Madrid in six years on Sunday thanks to Yannick Carrasco's first-half penalty.
Victory moved fourth-place Atleti six points clear of Real Betis with three games to go and on the cusp of securing Champions League qualification.
Their better head-to-head record over Betis means they will be guaranteed to finish in the top four if Betis fail to win away at Valencia on Tuesday.
If Betis beat Valencia, Atletico can make sure of their spot themselves by winning away at Elche on Wednesday.
Sevilla's place also looks almost sealed after a 1-1 draw away at Villarreal earlier on Sunday gave them a seven-point cushion over Betis.
Carrasco's conversion proved enough at the Wanda Metropolitano against a weakened Real Madrid, who took the chance to rotate after their incredible Champions League comeback against Manchester City on Wednesday.
With Karim Benzema, Luka Modric and Thibaut Courtois among those on the bench for the already-crowned champions, Atletico took advantage, even if they missed a string of chances that made the contest far more uncomfortable than it needed to be.
Atletico had not beaten Real Madrid in La Liga since 2016 and not at home since 2015, while their last eight games in all competitions against their city rivals had brought two goals and no victories.
Carlo Ancelotti made a raft of changes to his starting line-up as only Toni Kroos, Casemiro and Eder Militao remained from the team that pulled off the sensational victory over City.
It meant rare starts for the likes of Luka Jovic up front, Eduardo Camavinga in midfield and Jesus Vallejo at the back while Ukrainian Andriy Lunin made his first league appearance of the season in goal.
Atletico's greater intensity showed in the first half as Angel Correa drove an early shot wide after a poor pass from Camavinga allowed Geoffrey Kondogbia to rob Kroos before Carrasco weaved through but flashed wide.
The opening goal came from another misplaced pass, this time from Marco Asensio in midfield, and as Matheus Cunha bore down on goal, he was squeezed out between Vallejo and Militao.
Atletico wanted a penalty and while the referee initially waved away appeals, he changed his mind after consulting the replay, with Vallejo deemed culpable. Carrasco slammed in the spot-kick.
Kroos shot wide and then Jovic's only contribution was to hit Jan Oblak when the ball spilled out to him after Rodrygo raced in behind.
Atletico missed chances to kill the game as Carrasco fired over after Nacho Fernandez gave the ball away and then another Camavinga error gave Cunha a chance but his effort was saved.
Without the second goal, the tension grew and as every fresh opportunity went begging, the sense that Real Madrid might capitalise increased.
Real Madrid v Man City ratings
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REAL MADRID RATINGS: Thibaut Courtois - 8: Good save from Silva strike in 20th minute and an even better one from dipping Foden shot later in half. Beaten at near post by thunderous Mahrez finish. Great stops from Grealish shot and Foden header. AFP -
Dani Carvajal - 7: Perfect ball across box to set-up glorious chance for Vinicius Junior just after half-time. Booked in second half for foul on De Bruyne. Sent over another excellent cross for Rodrygo’s second. AFP -
Eder Militao - 7: Gifted possession to City that resulted in Silva almost opening scoring. Well-timed challenge when Foden threatened to get through on goal after break. Booked for chopping down Grealish. Getty -
Nacho - 8: Starting with David Alaba considered only fit enough for the bench and gave an assured performance at the back. Immense after Real took lead. AFP -
Ferland Mendy - 8: Good job defensively in keeping Mahrez very quiet until 73rd minute of match when Algerian found space to fire home. Incredible clearance on line to stop Grealish making it 2-0. AFP -
Luka Modric - 7: Booked in opening 10 minutes for petty shoving match with Laporte. Clearly benefits from having Casemiro in team, pulled strings for Real while keeping close watch on Rodri in centre of park. AP -
Casemiro - 8: Welcome return to side after injury and made plenty of trademark interceptions - but should have been booked in first half either for poor scissors tackle on De Bruyne or hauling down Foden by his shirt. EPA -
Toni Kroos - 6: Had dangerous free-kick deflected just wide by City wall in 26th minute but German couldn’t influence from midfield like he has shown so often in past and made way midway through second half. Getty -
Federico Valverde - 7: Teed-up early chance missed by Benzema, tireless effort up and down pitch and some good defensive challenges. Booked for late tackle on Fernadinho. Getty -
Karim Benzema – 8: Scooped first-time shot way over bar early on but kept well under control by City until a minute from time when his volleyed pass was finished by Rodrygo. Side-footed shot straight at keeper early on extra-time, before being fouled in box and scoring penalty himself later to win the tie minutes later. Reuters -
Vinicius Junior - 6: Intriguing battle with Walker who matched him for pace and quality. Missed good chance when he sent left-footed strike sailing over bar after finding space in box. Lucky that flag went up just after break when he sent shot from close range wide of goal. Reuters -
SUBS: Rodrygo – (On for Kroos 68’) 9: Scored with Real’s first shot on target in 90th minute, headed home their second two minutes later and then saw Ederson save to deny him quick-fire treble. AP -
Marco Asensio – (On for Casemiro 75’) 7: Thrown on with Real desperately chasing game and provided vital flick for Rodrygo's second. Getty -
Eduardo Camavinga – (On for Modric 75’) 7: A nuisance to City from moment he came on. AP -
Jesus Vallejo – (On for Militao 115’): N/A. Lucas Vazquez – (On for Vinicius Junior 115’): N/A. Reuters -
MANCHESTER CITY RATINGS: Ederson - 7: Amazingly quiet match when Real failed to register a shot on target until 90th minute - then Rodrygo scored his remarkable double turning game on head that Ederson could do little about. AP -
Kyle Walker - 9: Welcome return at right-back after three weeks and contained the threat of Vinicius Junior superbly, despite appearing to be injured from before half-time. Looked set to come off in second but bravely battled on – only to limp off in agony after collision with Brazilian winger. Getty -
Ruben Dias - 7: Suspended for first leg and back with the thankless task of containing Benzema – and barely given him kick for most of game only for Frenchman to provide assist for Rodrygo’s first goal. Then brought down the same player for extra-time penalty that Benzema finished himself. Getty -
Aymeric Laporte - 7: Early booking for shoving Modric – but should have got yellow card for dramatic fall to ground in said incident. Controlled show at back … until Real’s late show. AFP -
Joao Cancelo - 8: Switched flanks when Walker went off and was safe as houses defensively on both flanks. Saw sweet strike saved by Courtois in last five minutes of normal time. EPA -
Kevin de Bruyne - 7: Drilled shot from outside area straight at keeper and produced lovely ball to put Silva in on goal in opening 45 minutes. But Belgian midfielder nothing like as impressive or as influential as the first leg and was hooked in second half. EPA -
Kevin de Bruyne - 7: Drilled shot from outside area straight at keeper and produced lovely ball to put Silva in on goal in opening 45 minutes. But Belgian was nothing like as impressive as the first leg and was hooked in second half. EPA -
Bernardo Silva - 8: Had been dropping deep to gain possession when suddenly put through on goal by De Bruyne but Courtois saved his powerful shot. Vital tracking back to nick ball of toes of Vinicius Junior and provided assist for Mahrez goal. AFP -
Phil Foden - 8: Lovely control on his chest followed by volley from edge of area forced Courtois into excellent save late in first half. Had header saved by Belgian keeper at end of first period of extra-time. AFP -
Riyad Mahrez - 7: Little impact going forward in first half and one poor ball with counter-attack annoyed teammate De Bruyne. Did provide Walker with support dealing with Vinicius Junor and then smashed City into the lead with a powerful first-time finish. Reuters -
Gabriel Jesus - 7: In-form attacker whipped a curling shot just wide with Courtois beaten in first half, drilled shot straight from tight angle straight at keeper at start of second. Getty -
Oleksandr Zinchenko – (On for Walker 72’) 7: Settled straght in at back. Booked in extra-time for foul on Rodrygo. -
SUBS: Ilkay Gundogan – (On for De Bruyne 72’) 7: Straight on to play role in Mahrez’s goal. AP -
Jack Grealish – (On for Jesus 78’) 7: Had two chances in two minutes late on – one blocked on line by Mendy, the other tipped round post by boot of Courtois - that would have put City through. PA -
Raheem Sterling – (On for Rodri 99’) 6: Very harsh booking for sliding challenge on Rodrygo. Should have got one cross over early but went for one trick too many. Getty -
Fernandinho – (On for Mahrez 85’) 6: Should have finished rebound after Courtois saved Foden’s header in extra-time. Getty
Vinicius Junior, Modric and Fede Valverde all came on for the visitors but the pattern continued as Antoine Griezmann dragged wide and then Carrasco broke through, only to shave the outside of the post.
In the last 10 minutes, Valverde and Vinicius both tested Oblak, who then had to push Asensio's fizzing free-kick wide of the post. Nacho headed over Vinicius' cross from six yards out but Atletico held on.
Sevilla also took a step closer to finishing in La Liga's top four after Jules Kounde's 96th-minute equaliser snatched a 1-1 draw away at Villarreal.
Villarreal thought they had won it at La Ceramica when Giovani Lo Celso scored with four minutes of normal time remaining, but Sevilla grabbed a dramatic equaliser to boost their hopes of securing Champions League qualification next term.
After their superb run to the Champions League semi-finals, Villarreal are making a late push for next season's Europa League but Kounde's strike means they sit three points behind Real Sociedad in sixth.
