Isiah Pacheco Injury Update: Will Chiefs RB Miss Time After MCL Sprain?

Kansas City Chiefs running back Isiah Pacheco has suffered an MCL sprain, putting his short-term availability in question. The injury occurred during the Week 8 win over the Washington Commanders, and he is officially considered week-to-week, according to NFL Network’s Tom Pelissero.

This development is a significant setback for the Chiefs, who were finally showing progress in their ground game. Pacheco, the team’s leading rusher, sustained the injury in the fourth quarter and initially appeared fine after a quick evaluation — but further tests revealed the MCL issue that could sideline him for multiple games.

Chiefs Face Depth Challenge After Isiah Pacheco’s Injury

Pelissero reported that the 25-year-old running back will be evaluated on a week-to-week basis, meaning his return will depend on how his knee responds to treatment and rehabilitation. Pacheco’s energy and physical running style have made him a vital part of the Chiefs’ offense, particularly as Patrick Mahomes continues to adapt to a new-look receiving corps.

If Pacheco misses time, Kansas City is expected to turn to veteran Kareem Hunt as the primary back. Rookie Brashard Smith could also see increased snaps, while Elijah Mitchell and practice squad member Clyde Edwards-Helaire provide additional depth options. Hunt, however, has averaged just 4.0 yards per carry this season, slightly below Pacheco’s 4.2 average.

Despite ranking 12th in the NFL in rushing yards per game, Kansas City’s run-blocking remains an issue. The offensive line ranks 24th in run-block win rate, according to league analytics, putting added pressure on Mahomes and the passing game.

Impact on Chiefs’ Offense and Playoff Push

The timing of Pacheco’s injury could not be worse. The Chiefs’ rushing attack had begun to find its rhythm, balancing Mahomes’ aerial playmaking with consistent ground production. Losing Pacheco may force the team to rely even more heavily on Mahomes, Travis Kelce, and the passing unit heading into the second half of the season.

With the trade deadline approaching, Kansas City faces questions about whether to pursue additional running back help. However, analysts note that without improved blocking, any new addition may have limited impact. Mahomes himself acknowledged the offensive line’s importance in postgame comments, stressing that “everyone has to do their part to keep this offense balanced.”

Pacheco’s injury status will be closely monitored throughout the week as the Chiefs prepare for their next matchup. His absence could significantly influence Kansas City’s offensive approach and playoff momentum.

FYI (keeping you in the loop)-

Q1: What is the latest on Isiah Pacheco’s injury?

Isiah Pacheco is dealing with an MCL sprain and is considered week-to-week, per NFL Network’s Tom Pelissero.

Q2: How did Isiah Pacheco get injured?

He suffered the knee injury in the fourth quarter of the Chiefs’ Week 8 win over the Commanders.

Q3: Who will replace Isiah Pacheco in the Chiefs’ lineup?

Kareem Hunt is expected to take the lead role, with Brashard Smith and Elijah Mitchell providing depth.

Q4: How has Kansas City’s rushing attack performed this season?

The Chiefs rank 12th in rushing yards per game but have struggled with run-blocking efficiency, ranking 24th in run-block win rate.

Q5: Could the Chiefs make a trade for a new running back?

There has been speculation about a potential addition, but no moves have been confirmed as of now.