The API Gateway client certificate feature does not use ACM certificates.
For client certificates, API Gateway generates its own, self-signed certificates and makes the PEM-encoded public key of the client certificate available to you for configuring you web server. API Gateway keeps the certificate's private key and uses it when making requests to your web server. By design, there is no way to export the private key from API Gateway so you can be certain that the caller is API Gateway as no one else can get the private key.
To get the PEM-encoded public key of the client certificate, call get-client-certificate as documented here
Note that you must also configure you web server with a server certificate signed by a certificate authority which API Gateway trusts. Don't confuse this with the certificate used for a custom domain name. Those are used for TLS termination of incoming requests to your API. The server certificate I'm talking about for this use case is just used on your backend web server so API Gateway can call it via TLS.
It is recommended that you obtain, deploy, configure, and test with your server certificate before you enable the client certificate in API Gateway. Once, you have your server certificate working with API Gateway, then enable the client side certificate and modify your web server to require it.
This article describes how to configure both server side and client side certificates with Node.js.