After choosing number ninety-four shirt,[REF] Acquah made his Palermo debut, coming on as a substitute for Giulio Migliaccio in the 32nd minutes, in 4-2 loss against Fiorentina on 13 February 2011 [REF].
In January 2013 moved to German Bundesliga club Hoffenheim for €2.5 million fee on a four-year deal [REF][REF] but he was not given any opportunity to play a single match until the end of the 2012-13 season [REF].