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City have literally run Silva into the ground this season.
Football video games continue to replicate the real spectacle with alarming accuracy. Chief among the improvements in such games is the way they deplete players' energy and depict injuries as they occur in real life.
And as with real life, sometimes injury comes suddenly and sometimes you can tell what is likely to happen shortly before it all goes wrong.
In the video games, players often have an energy bar under them indicating how fit they are during play. Green indicates full energy, yellow less and red close to none.
If NBC Sports Network's telecast showed energy bars for the 22 players on the pitch in this match, David Silva's would have been red or perhaps maroon when he finally went down in the 70th minute.
"He played the last game with pain, which is why it was impossible for him to play against Sunderland," City boss Manuel Pellegrini said of Silva, according to Paul Wilson of the Guardian. "It is the same ankle, it started with a kick some weeks ago and it has not gone away."
That Silva was playing at all was probably a risk for Pellegrini, albeit one he had to take. Silva has been hobbling to various degrees for a while and could certainly have used another week off.
But Pellegrini saw enough of what City looked like without Silva against Sunderland to know he probably could not chance sitting the Spaniard if he could go.
Until Silva's ankle is scanned, there is no way to know if his season is over. If it is, City's thin Premier League title hopes might follow him to the training room never to emerge.