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Isiah Pacheco Injury History & Updates

Basic StatsIsiah Pacheco's Basic Stats

Isiah Pacheco
ADP: 3.4
Bye: 6
Experience: 3
Age: 25.2
Height: 5'10"
Weight: 216
40 Time: 4.37
SPARQx (Rank): 133.90 (96%)
Burst Score (Rank): 115.10 (32%)
Agility Score (Rank): 11.36 (56%)
Three Cone Drill (Rank): 7.09

Injury PredictorIsiah Pacheco's Injury Guide

Very High Risk

Chance of Injury in 2024


% chance misses at least 2 quarters

Chance of Injury per Game


1- 17√1-% Inj/Season

Projected Games Missed 2024




Ability to produce despire relatively minor injuries. 5 being most durable

Injury analysis powered by Draft Sharks Injury Guide, formerly SIP Logo

Injury History

Date League Injury Details
Oct 19, 2019 Non-NFL Pedal Foot After an accidental mishap, Pacheco suffered a cut on his foot while removing athletic tape from his ankles following Rutgers’ loss to Minnesota. He was able to play through the injury in the win over Liberty, but he missed the next game.
Jan 29, 2023 NFL Hand Finger Fracture The rookie broke a bone located between his wrist and thumb in the AFC Championship game. He suited up for the Super Bowl.
Oct 23, 2022 NFL Shoulder Labrum Tear The exact injury date is unknown. Pacheco didn't miss a game as a rookie but underwent surgery two weeks after the Super Bowl.
Dec 3, 2023 NFL Shoulder Pacheco injured his shoulder in Week 13 vs. the Packers. He later had a cleanup procedure and missed the next two games. This is the same shoulder he had offseason surgery on.
Dec 25, 2023 NFL Head Cranial Concussion Grade 1 Pacheco left in the third quarter of Week 16 vs. the Raiders with a concussion. He returned to play in the following game.

Basic StatsIsiah Pacheco's Preseason Player Analysis

View RB Fantasy Rankings »

Bottom Line

Pacheco ranked 14th among RBs in PPR and non-PPR points per game last year. He was even better in seven games without RB Jerick McKinnon, posting a scoring average that would have ranked third at his position.

McKinnon remains unsigned as of now, leaving Clyde Edwards-Helaire as Kansas City’s No. 2 RB – and giving Pacheco legitimate RB1 upside in a high-scoring Chiefs offense.

Durability is a concern, but Pacheco is a value anywhere in Round 3 or beyond.

What We Learned Last Year

  • Pacheco ranked 14th among RBs in both PPR and non-PPR points per game last year.
  • He missed Weeks 14 and 15 with a shoulder injury and was held out of a meaningless regular-season finale.
  • In his 14 games, Pacheco averaged:
    • 14.6 carries
    • 66.8 rushing yards
    • 3.5 targets
    • 3.1 catches
    • 17.4 receiving yards
    • 0.6 TDs
  • He was even busier and more productive in seven games (including 3 playoff games) without RB Jerick McKinnon. In those, Pacheco averaged:
    • 17.9 carries
    • 82.1 rushing yards
    • 3.7 targets
    • 3.6 catches
    • 15.6 receiving yards
    • 1.1 TDs
  • His 20.2 PPR points per game in those outings would have ranked third among RBs on the season.
  • Pacheco’s usage equated to 18.8 expected PPR points per game, which would have ranked sixth at his position.
  • Pacheco was effective as a runner last year. Among 49 RBs with 90+ carries, he ranked:
    • 17th in yards after contact per attempt
    • 27th in missed tackles forced per attempt
    • 8th in NFL Next Gen Stats’ Rush Yards Over Expected Per Attempt
    • 10th in Pro Football Focus rushing grade
  • Pacheco ranked just 29th in yards per route run among 43 RBs with 30+ targets but ranked 11th in PFF receiving grade.
  • Pacheco emerged over the second half of his 2022 rookie season, ranking 13th league-wide in carries and fifth in rushing yards.
  • His 4.7 yards per carry over the last two years ranks 12th among 49 RBs with 200+ carries during that span.

What to Expect in 2024

  • Jerick McKinnon remains unsigned as of now, giving Pacheco a RB1-level ceiling similar to what we saw in his seven games without McKinnon last year.
  • The Chiefs’ RB depth chart behind Pacheco:
    • Clyde Edwards-Helaire
    • Deneric Prince
    • Louis Rees-Zammit
    • Keaontay Ingram
  • The Chiefs have typically ranked in the top half of the league in total RB PPR points under HC Andy Reid and QB Patrick Mahomes:
    • 2018 - 5th
    • 2019 - 16th
    • 2020 - 25th
    • 2021 - 15th
    • 2022 - 5th
    • 2023 - 11th
  • The 2023 Chiefs ranked 20th in Adjusted Line Yards and 18th in Pro Football Focus run-blocking grades
  • They return four of five starters on the offensive line, opting to not re-sign LT Donovan Smith, who ranked 67th among 70 qualifying OTs in Pro Football Focus’ 2023 pass-blocking grades. He’ll be replaced by either 2023 third-round pick Wanya Morris or 2024 second-rounder Kingsley Suamataia.
  • The biggest concern with Pacheco is durability.
    • He underwent surgeries on his hand and shoulder shortly after the 2022 season.
    • He re-injured that shoulder last year, had a clean-up procedure, and missed two games.
    • Pacheco also suffered a concussion in Week 16, although he was cleared for Week 17.
    • Our Injury Predictor gives him a 90.4% chance of injury this season and 3.40 projected games missed – both second most among RBs.

Recent Injury Bites View All Shark Bites »

Jerick McKinnon, RB UNS

8:01pm EST 2/6/24

Reid: "Slim" chance Jerick McKinnon plays in Super Bowl

Chiefs HC Andy Reid said Tuesday that chances are "slim" RB Jerick McKinnon plays in the Super Bowl. He was designated to return this past weekend but evidently isn't ready for game action after early-January surgery to repair a core muscle injury and fractured pelvis. RB Isiah Pacheco should continue to dominate Chiefs backfield work vs. the 49ers on Sunday.

View all Jerick McKinnon Shark Bites »

Chiefs RB Isiah Pacheco (ankle, toe) is active for today's game against the Ravens. He missed the week's first two practices before a limited Friday and "questionable" listing on the final injury report. Pacheco's gotta be somewhere south of full strength. But we're also seen no indication his role will be limited today. It's tough to downgrade him as a fantasy option on a two-game slate. Perhaps the combo of toe and ankle issues at least gives Clyde Edwards-Helaire some upside, especially if Pacheco gets knocked out of the game at any point.

View all Isiah Pacheco Shark Bites »

Chiefs RB Isiah Pacheco (ankle, toe) is listed as questionable for Sunday's AFC Championship game vs. the Ravens. He only got in a limited practice on Friday. While Pacheco clearly isn't at 100%, we haven't heard anything to suggest that he's in danger of missing this one. We'll keep you updated on his status and get Kansas City's inactives around 1:30 pm ET on Sunday.

View all Isiah Pacheco Shark Bites »

Chiefs RB Isiah Pacheco has missed the first two practices of the week with ankle and toe injuries. He told the media earlier this week that he'd be ready for Sunday's AFC Championship game vs. the Ravens, but Pacheco's status will be worth checking back in on when we get Kansas City's final injury report on Friday afternoon.

View all Isiah Pacheco Shark Bites »

Chiefs RB Jerick McKinnon is unlikely to play this postseason, according to Chiefs Digest's Matt Derrick. McKinnon had surgery on January 2 for a core muscle injury and a fractured pelvis, per Derrick, which is expected to sideline him at least 6-8 weeks. McKinnon's absence leaves Clyde Edwards-Helaire as Kansas City's No. 2 RB -- and Isiah Pacheco in a workhorse role.

View all Jerick McKinnon Shark Bites »

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