Los Angeles Rams wide receiver Puka Nacua is likely headed to injured reserve due to an MCL/PCL sprain and turf toe, head coach Sean McVay said Monday, according to ESPN's Sarah Barshop.
Nacua will miss at least four games if he's placed on IR.
With Nacua sidelined indefinitely, McVay said the Rams will "explore all avenues" at the wide receiver position ahead of the NFL trade deadline, according to LA Daily News' Adam Grosbard.
Nacua sustained the knee injury in the final minutes of the Rams' win over the Washington Commanders on Sunday.
All-Pro WR Puka Nacua suffered a knee injury on the Rams’ final offensive snap today, and will undergo an MRI on Monday to determine the extent of the injury, per @MikeGarafolo and me. The team does not believe he suffered a torn ACL, but the imaging Monday will tell more. https://t.co/S264w2Fe0A
— Adam Schefter (@AdamSchefter) November 8, 2026
McVay said he regrets the play call that led to Nacua's injury.
"I'm kicking myself about those kinds of things. ... I'd be lying to you if I said I haven't questioned the decision-making on that last play over and over," McVay said of the jet-sweep call, according to Grosbard.
Nacua leads Los Angeles with 70 catches for 715 yards. He hauled in 14 receptions for 150 yards in Sunday's win.
The 25-year-old missed two games earlier this season due to a hip injury. Nacua also sustained a calf injury in October but didn't miss a game.
The Rams are third in the NFC West at 5-4.
Nacua was named an All-Pro in 2025 after racking up 1,715 yards and 10 touchdowns on an NFL-leading 129 receptions.
