Isiah Pacheco Injury Update: Chiefs Running Back Ruled Out vs. Bills with Knee Sprain

The Kansas City Chiefs will be without starting running back Isiah Pacheco for their Week 9 showdown against the Buffalo Bills. The team confirmed that Pacheco has been ruled out due to a knee injury suffered in last week’s game. His absence marks a setback for a Chiefs offense that has been gaining momentum after an early-season slump.

According to the team’s final injury report, Pacheco’s injury is not considered long-term, but he will miss Sunday’s matchup as a precaution. Head coach Andy Reid told reporters that the second-year running back is dealing with an MCL sprain and will be evaluated on a “week-to-week” basis.

Latest Details on Isiah Pacheco’s Knee Injury

Pacheco sustained the injury late in the Chiefs’ Week 8 victory against the Washington Commanders. Trainers examined his knee on the sideline, and he did not return to the field after limping to the locker room. Tests later revealed an MCL sprain, which typically carries a short recovery window if the damage is mild.

The Chiefs have opted to rest Pacheco rather than risk further aggravation. Reid emphasized that the decision was made with long-term goals in mind, especially as Kansas City prepares for a crucial mid-season stretch that includes their bye week in Week 10.

Veteran running back Kareem Hunt is expected to take over starting duties, while rookie Brashard Smith could see an increased role. The team may also incorporate more passing plays with Patrick Mahomes leading an offense that remains among the most versatile in the NFL.

Pacheco has been a consistent performer this season, posting solid rushing numbers and providing balance to Kansas City’s attack. His high-energy style and downhill running have made him a reliable option in both short-yardage and red-zone situations. Losing him, even temporarily, alters the Chiefs’ offensive rhythm.

Impact on the Chiefs’ Week 9 Game Plan

The absence of Pacheco will test Kansas City’s backfield depth. Hunt’s return to the lineup gives the Chiefs a veteran presence who understands the system and can contribute in both running and receiving roles. However, the offensive line will need to adapt to Hunt’s different running style.

Patrick Mahomes will likely shoulder more of the offensive load against a Bills defense that ranks near the top of the league in rushing yards allowed. Expect more screen passes, quick throws, and play-action sequences designed to keep Buffalo’s front seven off balance.

Defensively, the Chiefs have been strong enough to stay competitive even when missing key offensive pieces. But as playoff positioning tightens, every game matters, and the team will hope Pacheco’s recovery progresses quickly.

In summary: The Isiah Pacheco injury update confirms that the Chiefs’ starting running back will miss Sunday’s game against the Bills due to an MCL sprain. The injury is considered week-to-week, with a potential return after the team’s Week 10 bye. Kansas City will rely on Kareem Hunt and others to carry the load in the meantime.

FYI (keeping you in the loop)-

Q1: Is Isiah Pacheco playing this Sunday?

No. Pacheco has been ruled out for the Week 9 matchup with the Bills due to a knee injury.

Q2: What kind of injury does Isiah Pacheco have?

He suffered an MCL sprain in his knee, which typically requires a short recovery period.

Q3: When could Isiah Pacheco return?

Pacheco is considered week-to-week and could return after the Chiefs’ bye in Week 10 if recovery goes smoothly.

Q4: Who will replace Isiah Pacheco in the Chiefs backfield?

Kareem Hunt will handle primary duties, with rookie Brashard Smith and Elijah Mitchell rotating in as needed.

Q5: How has Pacheco performed this season?

Before the injury, Pacheco had been one of Kansas City’s most effective offensive weapons, consistently producing in both rushing and receiving roles.