The report identifies Pepi as the only striker in the group with 2026 World Cup experience, while Folarin Balogun is also absent. That removes the clearest route to continuity in an attack already entering a period of renewal.
Downs, 22, now has an opportunity that would have been difficult to secure with Pepi fit. His arrival does not simply replace a squad member; it creates a fresh contest for minutes and responsibility. The United States will need a forward capable of leading the line while the coaching staff assesses a broader group of options.
At the other end of the team, Chris Richards arrives in strong club form. The report says the Crystal Palace defender scored in a 4-0 Europa League victory over Lech Poznań, then helped preserve another clean sheet in a goalless draw with Leeds United.
His recent output matters beyond the goal. Richards reportedly made 10 defensive actions and eight clearances against Leeds, underlining the defensive reliability he can bring to a young squad. With 12 newcomers in a group of 28, that experience could be especially valuable.
The United States are expected to begin the sequence against Peru in Orlando on Saturday. The report says the team will play four friendlies, giving the staff time to test alternatives rather than force an immediate replacement for Pepi.
For now, Pepi’s medical update is the central storyline. If his absence extends beyond this window, Downs and the other attacking options will have to turn an unexpected call-up into a genuine claim for the position.