The San Francisco 49ers face a pivotal Week 10 divisional showdown against the Los Angeles Rams as they fight to stay in the divisional race. Ricky Pearsall continues to work his way back from a knee injury that has now sidelined him for five consecutive weeks. Will fantasy football managers finally get their promising receiver back on the field?

Ricky Pearsall Injury Update
Pearsall suffered his knee injury during the team’s Week 4 disappointing loss to Jacksonville when he landed hard on the ground while attempting to make a reception. The second-year receiver initially tried to compete through the discomfort but was ultimately unable to continue.
Head coach Kyle Shanahan indicated that the team needed to thoroughly evaluate Pearsall’s condition, explaining that their initial assessment suggested a minor PCL injury after he hit his knee hard on the ground. Minor PCL injuries typically require two to three weeks of recovery time, which initially aligned with Pearsall’s expected timeline.
However, his absence has now extended beyond five weeks, confirming that the injury has been more stubborn than originally projected. What was initially supposed to be a one-to-two week absence has lingered far beyond expectations.
Pearsall had not practiced at all since suffering the injury through last week, missing every session over the previous four weeks. The 49ers ruled him out for their Week 9 matchup against the New York Giants well before kickoff.
Monday brought the first truly optimistic update fantasy managers have received in over a month. Shanahan spoke to the media and said Pearsall has a chance to play this week. After weeks of vague statements and no concrete timeline, hearing the coaching staff acknowledge the possibility of Pearsall returning represents meaningful progress.
However, saying he has a “chance” isn’t exactly the most encouraging language. When coaches use that type of hedged terminology, it typically suggests the player is progressing but not quite ready for full clearance.
It sounds as if Pearsall is finally making tangible strides in his recovery after what has been a frustrating month-plus absence. Last week, he was observed running and cutting on a side field, which represented the first visible progress since the injury occurred. Monday’s comments from Shanahan suggest those activities have continued progressing positively.
Despite the optimistic tone, fantasy managers should not expect the sophomore wide receiver to return in Week 10. The cautious language from Shanahan combined with Pearsall’s extended absence suggests the 49ers will continue taking a conservative approach with their young receiver. Rushing him back prematurely could risk aggravation and an even longer absence.
A more realistic target for Pearsall’s return appears to be Week 11. That would give him another full week of practice participation to build up his conditioning and prove the knee can handle the demands of game action without setbacks.
Pearsall Fantasy Outlook
Pearsall had emerged as the team’s leading receiver before his injury, totaling 20 receptions for 327 yards through the first four games. His 16.4 yards per reception average led all 49ers receivers with significant targets, and he ranked as the fifth-best wide receiver in the NFL according to advanced metrics (at the time).
When Pearsall eventually returns, he will face significantly more target competition than when he left the lineup. George Kittle has returned from injured reserve after missing five games with a hamstring injury, while Jauan Jennings has looked much healthier as he works his way back from ankle and rib injuries.
The depth chart has shifted considerably during Pearsall’s absence. Jennings has established himself as a reliable target when healthy, while Kendrick Bourne has had a late-career renaissance. This competition for targets could limit Pearsall’s immediate fantasy impact upon his return.
Fantasy managers holding Pearsall should continue their patience for at least one more week. While Monday’s update provides reason for optimism about his near-term return, the cautious language suggests Week 11 is the more prudent expectation. Those desperate for receiver help may need to explore other options for Week 10 rather than banking on Pearsall’s availability.
