# Saints vs. Steelers: Injury Concerns Mount Ahead of Paris Showdown

> Saints face injury worries as Paris clash looms with key players sidelined.
- Title: Saints vs. Steelers: Injury Concerns Mount Ahead of Paris…
- Summary: Saints face injury worries as Paris clash looms with key players sidelined. New Orleans Saints' Alvin Kamara and Cesar Ruiz face injury concerns ahead of…
- Keywords: new orleans saints, pittsburgh steelers, alvin kamara, cesar ruiz, injury report, paris showdown, saints vs steelers, nfl, sports, Saints, Steelers, Injury
- Source: New Orleans Saints On SI — https://si.com/nfl/saints/onsi/saints-vs-steelers-injury-concerns-mount-ahead-of-historic-paris-showdown-01m5jv0fe9c8
- Published: 2026-10-22T22:42:24+00:00
- Read time: 2 min
- Topics: new orleans saints, pittsburgh steelers, alvin kamara, cesar ruiz, injury report, paris showdown, saints vs steelers, nfl, sports
## Injury concerns mount
New Orleans Saints face several injury concerns ahead of Sunday's historic international matchup against Pittsburgh Steelers at Stade de France in Paris.
## Key players sidelined
Running back Alvin Kamara and starting offensive guard Cesar Ruiz headline New Orleans' injury report, while Pittsburgh monitors T.J. Watt, Alex Highsmith and Jalen Ramsey.
## Saints injury report
According to the Saints' official Thursday injury report, 11 New Orleans players were listed with three missing practice and three participating on a limited basis.
## Saints' record
The Saints (2-4) are looking to build momentum after Sunday's 34-27 victory over the New York Giants, which snapped a three-game losing streak.
## Steelers' record
Pittsburgh (4-2) enters the matchup seeking its second consecutive victory.
## Kamara's status
Kamara was limited for the second consecutive practice Thursday, leaving his availability worth monitoring heading into Sunday's game.
## Ruiz's status
Ruiz's situation is potentially more concerning as the veteran offensive lineman missed practice Wednesday and Thursday due to a knee injury.
## Elliss and Jennings
Linebacker Kaden Elliss (calf) and edge rusher Anfernee Jennings (knee) were limited for the second consecutive day with Elliss confirming he will play Sunday.

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## Encouraging news
Shough, Kool-Aid McKinstry and Nathan Shepherd participated fully despite injuries, while CJ Donaldson improved from limited to full practice Thursday.
## Steelers' injury report
Pittsburgh Steelers reported T.J. Watt (calf), Alex Highsmith (groin), Jalen Ramsey (wrist) and Cameron Heyward (rest) as key injury concerns.
## Watt's status
Watt, the former NFL Defensive Player of the Year with 4.5 sacks through six games, was limited with a calf injury after sitting out Wednesday for rest.
## Ramsey's status
Jalen Ramsey returned to practice on Thursday after missing Wednesday with a wrist injury, though he participated limitedly.
## Steelers' concerns
Pittsburgh is also dealing with significant injury concerns, particularly on defense with several players sidelined.
## Key takeaway

New Orleans Saints' Alvin Kamara and Cesar Ruiz face injury concerns ahead of Sunday's Paris game against Pittsburgh Steelers.