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Puka Nacua Injury Status: Puka Nacua remains fit and available for the Los Angeles Rams’ Week 5 clash against the Buffalo Bills on Monday, October 12, after recovering from the hip and groin issues that forced him out of two consecutive games earlier in the 2026 NFL season. The wide receiver returned against the Philadelphia Eagles in Week 4 and delivered an impressive performance ahead of Monday Night Football.

Nacua’s return is a significant boost for the Rams as they prepare to face Josh Allen and the Bills at SoFi Stadium in Inglewood, California. The receiver has already demonstrated his importance to Matthew Stafford’s passing attack, particularly in crucial moments.

Puka Nacua Injury Update: What Is His Status For Rams-Bills Game?

Nacua missed the Rams’ games against the New York Giants and Denver Broncos due to a hip injury, which head coach Sean McVay later described as groin soreness. He returned to practice before the Week 4 matchup against Philadelphia and was cleared to play.

The 2026 season has also involved an earlier bout of groin soreness during preseason preparations. However, his latest performance suggests he has made encouraging progress in his recovery. Speaking ahead of the Bills game, Nacua said he felt as healthy as he could.

Puka Nacua’s Stats After Injury Return

Nacua made an immediate impact in the Rams’ Week 4 game against the Eagles, recording nine receptions for 125 receiving yards and scoring his first touchdown of the season on a rushing play. He also produced five catches for 76 yards across Los Angeles’ final two offensive drives, helping the team during the decisive stages of the contest.

Quarterback Matthew Stafford praised the receiver’s performance after the game, highlighting his ability to make difficult catches under pressure. Head coach Sean McVay also recognised Nacua’s importance during the Rams’ late scoring drives.

His return gives Los Angeles another reliable target as it looks to build offensive momentum against Buffalo.

Rams vs Bills: Why Nacua’s Fitness Matters

The Rams and Bills enter the Week 5 matchup with plenty at stake as they build on their NFL regular-season campaigns. Nacua’s availability gives Stafford an established receiving option after his absence in Weeks 2 and 3.

The matchup also recalls the teams’ high-scoring meeting in Week 14 of the 2024 season. Nacua recorded 12 catches for 162 yards and a touchdown in the Rams’ 44-42 victory over Buffalo.