Chiefs Running Back Isaiah Pacheco Out Week-to-Week with MCL Sprain
The Kansas City Chiefs received unfortunate injury news on running back Isaiah Pacheco after Monday Night Football. Pacheco, who left the win over the Washington Commanders with a knee injury, has been diagnosed with a week-to-week MCL sprain, according to Tom Pelissero and other sources.
The injury occurred on a play where Pacheco was hit below the knee, bending it into an awkward position. While many feared the worst, it turns out he avoided a season-ending injury, giving Chiefs fans some relief.
Before the injury, Pacheco was in great form, averaging 4.8 yards per carry last night and rushing for 58 yards on 12 attempts. His absence will put more pressure on Kareem Hunt, who has been exceptional this season, and Bashard Smith, who continues to improve week by week.
Given the Chiefs’ short turnaround to face the Buffalo Bills on Sunday and their upcoming bye week, experts suggest sitting Pacheco to ensure he has adequate recovery time. This approach minimizes risk and prioritizes long-term health, which is critical as the Chiefs eye the playoffs.

Even without Pacheco, the Chiefs’ running game remains efficient and reliable. The combination of Hunt, Smith, and offensive line standout Kingsley Suumataya ensures Kansas City can maintain dominance on the ground while Patrick Mahomes and the passing game continue to keep defenses honest.
Looking ahead, the Chiefs have options: rest Pacheco, continue developing Smith, and potentially evaluate Elijah Mitchell or consider a midseason acquisition if needed. The focus will be on keeping the team healthy and prepared for the stretch run into January.
Chiefs fans can breathe easier knowing this is not a catastrophic injury, but patience will be key. With a strategic approach, Pacheco should return to form, keeping Kansas City’s offense as dynamic and dangerous as ever.
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