Rams ‘do not intend to limit’ Nacua’s workload

An MRI on Monday revealed a sprained MCL and PCL for Nacua, who also suffered a turf toe injury on the Rams’ final offensive play in Sunday’s win over the Commanders. Nacua caught 14 passes for 150 yards and a touchdown in the win, drawing a target on 44.2 percent of Stafford’s pass attempts. It goes without saying that this creates a massive problem for a Rams’ passing game that has failed to find a serviceable WR2 sans Davante Adams (hamstring). Now, McVay and company will be faced with a new challenge as they try to replace Nacua with the likes of Tutu Atwell, Jordan Whittington, Konata Mumpfield, or a player not yet on the roster. Long believed to be buyers ahead of Tuesday’s trade deadline, it seems like a foregone conclusion that GM Les Snead will do what he can to acquire a playmaker for Matthew Stafford with whatever draft picks he still has at his disposal. The Rams currently only hold own one pick in the first three rounds of the 2027 NFL Draft but still hold their first-round picks in 2028 and 2029, per Spotrac.com.

Rams fans and fantasy managers will be holding their collective breath as they await the results of tomorrow’s MRI. According to Garafolo, Nacua suffered a knee injury on the Rams’ final offensive snap of the game when he took a rush attempt for five yards before the Rams punted the ball away. Nacua took a low hit from Commanders safety Jeremy Reaves, but didn’t appear to suffer a serious injury in real time. Garafolo reports, “the team does not believe [Nacua] suffered a torn ACL, but the imaging Monday will tell more.” It goes without saying that the Rams can ill-afford to lose another receiver, especially one of Nacua’s caliber. We will be sure to check back in with any updates on his injury as they come.

Nacua was targeted early and often by Matthew Stafford in this one. He caught three-of-four targets for 29 yards on the Rams’ first offensive drive and entered halftime with a 9-86-0 line on 11 targets. Coming out of the half, Nacua immediately caught back-to-back passes of 12 and 15 yards on a drive that ended with a Blake Corum touchdown run, and in the fourth quarter he made an impressive leaping grab for a seven-yard score to put the Rams up 20-13. Nacua has now scored in each of his last three games and has topped 100 yards three times this season. He’s the only reliable target in the Rams’ passing game and will, as usual, profile as a high-end WR1 next week against the Cardinals.

Nacua, with Davante Adams (hamstring) sidelined, again dominated targets in the newly run-heavy LA offense. No other Rams pass catcher saw more than four targets on the day. Nacua’s touchdown came on a well-designed screen in the second half at the end of a long drive for the run-first Rams offense. Nacua, who had 41 targets over his prior four games, is among the safest players in fantasy football. He matches up against the Commanders in Week 9.

Nacua, dealing with a calf injury, didn’t appear to be 100 percent but still got by just fine against a beatable Vegas secondary. He caught one of Matthew Stafford’s three touchdowns and led the Rams offense with ten targets. Nacua has a good chance of leading the NFL in targets for the remainder of the season with Davante Adams (hamstring) out indefinitely. His role in the LA offense makes Nacua one of the most dangerous fantasy options in the game. He gets the Chargers secondary in Week 8.

Start him. The Rams clearly feel comfortable with their superstar playing today, and we should too. Nacua’s upside is too high for him to remain on fantasy football benches. Reporting on Nacua’s ailment suggests he is not necessarily dealing with a strain. It can perhaps be best described as muscle fatigue, though we are doctors here at Rotoworld. Re-injury is possible, but we can safely expect him to handle a large workload whenever he is on the field. Nacua is a high-end WR1.

Nacua is going to test out his calf issue in warmups. Rapoport said Nacua isn’t necessarily dealing with a calf strain. He simply didn’t feel he could explode like he needed to. Nacua’s groin injury was described similarly earlier this year. Fantasy managers will want to keep an eye on this injury ahead of kickoff. If Nacua can’t go, Jordan Whittington will take on a larger role in the offense.

The fact that Nacua is not practicing today is a bad sign for his Week 7 availability. Ever the injury-related optimist, NFL Network’s Ian Rapoport reported earlier today that Nacua’s injury is “more minor than anything else,” though he quickly balanced the scales by then saying that he would not call Nacua’s quick trip to the imaging room “precautionary, because it’s not nothing.” If active, Nacua should be in fantasy football lineups because his talent and workload are almost unparalleled. Unfortunately, coach Sean McVay told reporters that Nacua felt that “he wasn’t able to have some of the power and full explosion.” Nacua is on the wrong side of questionable, and the Rams obviously do not want his injury to worsen.

As far as Nacua’s long-term status goes, this sounds like good news overall. However, Rapoport also noted that Nacua’s status for Sunday’s game against the Raiders could be “up in the air.” With Friday’s practice still to go, Nacua’s status will be one to look for later in the day, as will his designation entering the weekend. If he draws a questionable tag, fantasy managers should treat him as a true game-day decision and have a backup plan in place should be unable to play this week. Given the 4:25 PM EST start time for this game, Rams WR Konata Mumpfield could be on a short list of players worth stashing until we know more about Nacua’s availability.

Brutal. The Rams lost Davante Adams to a hamstring tendon rupture in Week 6 against the Cardinals, and now they could be without Nacua in Week 7 against the Raiders. The Rams have handled star-player injuries smartly this season. Consider Nacua highly questionable to play, and seek out a backup plan. Konata Mumpfield would serve as the de facto No. 1 wide receiver if Nacua is unable to play.