Nov. 22, 2009: Roethlisberger took a knee to the helmet in a Week 11 overtime loss to Kansas City. It was the fourth concussion of his career.
After a week of "will he or won't he?" leading up to a crucial Week 12 divisional matchup against Baltimore, Roethlisberger sat out the game and Dennis Dixon made his first-ever NFL start.
Dixon nearly led the Steelers to a win, only to fall in overtime once again, 20-17.
Locker room scuttlebutt erupted before the game as Hines Ward and other anonymous teammates questioned Big Ben's manhood for sitting out the game.
Head coach Mike Tomlin took the heat, saying it was his call in concert with team doctors and that Big Ben wanted to play. Nonetheless, the sight of him in pads all game long doesn't help the softness rumors.
Roethlisberger returned Week 13 only to lead Pittsburgh to two more embarrassing losses to Oakland and Cleveland.
Big Ben led the team to three straight wins to end the regular season, but it was too late. The Steelers missed the playoffs.