Tottenham manager Roberto De Zerbi is facing a defining decision as he looks to steer Spurs away from relegation — whether to risk bringing James Maddison back into action after a long injury layoff.
De Zerbi had only just expressed confidence in Tottenham’s survival chances when another major setback hit: Xavi Simons suffered an anterior cruciate ligament (ACL) injury that will rule him out for the rest of the season and the upcoming World Cup. The news felt like yet another blow in a campaign where optimism has been scarce.
Simons had begun to emerge as a key figure in Spurs’ fight for survival, making his absence particularly damaging. Even a recent win over Wolves offered little relief, with results elsewhere leaving Tottenham still two points from safety with just four matches remaining.
Injuries have become a defining issue. Since De Zerbi’s arrival, key players like Cristian Romero and Mohammed Kudus have also suffered season-ending setbacks, while Dominic Solanke is a doubt with a hamstring problem. The constant disruption has made consistency nearly impossible.
With creativity already lacking — Spurs rank near the bottom of the league in chance creation metrics — losing Simons removes one of their few attacking sparks. This leaves De Zerbi with a difficult choice: rely on limited internal options or take a gamble on Maddison.
Maddison has not played since August due to his own ACL injury, meaning he has gone nearly a year without competitive football. However, his recent appearances on the bench suggest he is close to returning.
De Zerbi has been cautious, wary of rushing players back too quickly after previous setbacks in the squad. But with the stakes so high, that caution may soon be tested.
Alternatives do exist. Lucas Bergvall could step into an attacking midfield role, while Mathys Tel is another option out wide. Still, neither offers the same level of creativity and influence that a fully fit Maddison can provide.
At his best, Maddison brings vision, set-piece quality, and the ability to unlock defences — exactly what Spurs have been missing. In a normal season, he would be eased back gradually. But these are not normal circumstances.
With Tottenham’s Premier League status on the line, De Zerbi must weigh the immediate need for results against the long-term health of one of his most important players. It’s a decision that could define not only the club’s season, but also Maddison’s future.
