49ers vs. Rams: Injuries, Key Players, and What Could Decide the NFC West Clash
The long-standing rivalry between San Francisco and Los Angeles takes center stage once again as the 49ers vs. Rams showdown approaches. Both sides enter Thursday’s primetime meeting with injury headaches, lineup adjustments, and plenty of pressure to deliver in a matchup that could shape the early NFC West race.

San Francisco’s Growing Injury List
The 49ers’ offense has been hit hard in recent weeks, and the situation worsened when quarterback Brock Purdy was officially ruled out with a turf toe injury. That leaves Mac Jones to start for the third time this season, despite his own knee concerns.
It’s not just at quarterback where the 49ers are hurting:
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Jauan Jennings, Ricky Pearsall, and Jordan Watkins have all been sidelined at wide receiver.
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Star tight end George Kittle remains on injured reserve.
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Top receiver Brandon Aiyuk continues to recover from a knee issue and will not feature.
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Defensive lineman CJ West is questionable.
This combination of absences leaves the offense heavily reliant on Christian McCaffrey, who may need to carry the load both on the ground and through the air.
Rams Face Doubts of Their Own
The Rams are not entirely healthy either. Veteran tight end Tyler Higbee and right tackle Rob Havenstein are listed as doubtful, which could test the team’s depth. If they miss out, younger talents like Terrance Ferguson and Warren McClendon may be asked to step up.
Despite these concerns, Los Angeles still possesses firepower. Quarterback Matthew Stafford has been consistent, and his passing options look dangerous:
Player | 2025 Season Stats So Far | Role in Offense |
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Puka Nacua | 42 receptions, 503 yards | Top target, chain-mover |
Davante Adams | Multiple touchdowns, veteran presence | Red zone threat |
Matchup Storylines to Follow
Can the 49ers’ Defense Hold the Line?
San Francisco’s secondary has been one of the strongest units in the league, never conceding more than 186 passing yards in a game this season. But Stafford distributing to Puka Nacua and Davante Adams will be their toughest assignment yet.
The Pressure on Mac Jones
Jones has a higher sack rate than Purdy, and with a patchwork receiving corps, the challenge only increases. The Rams’ defensive front, led by a fierce pass rush, could make his night extremely difficult if the offensive line struggles.
Christian McCaffrey: The X-Factor
With so many offensive weapons unavailable, McCaffrey’s ability to create yards and score points becomes vital. If he finds rhythm early, San Francisco can keep the game competitive.
49ers vs. Rams Predictions
For the first time in five meetings, the 49ers are underdogs. Oddsmakers have placed the Rams as favorites, with some sportsbooks offering a 7-point spread and an over/under around 45.5. Analysts lean toward Los Angeles due to San Francisco’s depleted lineup, but divisional games often bring surprises.
Rivalry History Adds Heat
The 49ers vs. Rams rivalry stretches back to 1950, with San Francisco leading the all-time series 78–71–3. Recent momentum, however, belongs to Los Angeles, who have claimed the last three encounters. For the 49ers, this game is about halting that run, while the Rams aim to strengthen their grip on divisional bragging rights.