The game may be even tougher given the Steelers' injury issues. Both the offensive and defensive lines are decimated, further complicating the problems they have in protecting Ben Roethlisberger and stopping the run.
Chris Kemoeatu’s knee continues to be a hindrance meaning that Doug Legursky would take his spot and Ramon Foster would move to right guard.
Aaron Smith will miss this week as Brett Keisel finally returns to the lineup. Ziggy Hood will get the start in place of Smith.
The injuries are not limited to the lines, either. James Harrison will be out for several weeks, and his top backup, Jason Worilds, is also ruled out for Sunday.
Lawrence Timmons will slide outside, and Larry Foote will take over the job at inside linebacker.
This will complicate matters, as James Farrior has frequently been spelled by Foote. Instead, Stevenson Sylvester may have to answer the call.
There are still some questions as to Rashard Mendenhall’s status, and while Roethlisberger will play, his mobility will be limited with his foot injury.
All of these issues, combined with the fact that Tennessee has played very well this season, has stacked the deck against Pittsburgh.
It is early in the year, but the Steelers need to get a win at home to avoid a potential downward spiral.
Here are the keys to getting a victory Sunday against the Titans.