Marco Verratti is suspended for Monday's game with Italian defender Leonardo Bonucci wearing a protective mask after breaking his nose in a bruising first leg against Sweden in Stockholm.
And elimination would nearly certainly mean goalkeeper Gianluigi Buffon playing his final competitive worldwide.
For the first time since 1958, Italy will not be going to the FIFA World Cup™.
"I'm not sorry for myself but all of Italian football", he said in an emotional post-match interview. "There's regret at finishing like that, not because time passes", Buffon said after the result.
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Four-time world champions Italy will not be at the 2018 FIFA World Cup in Russian Federation following their 0-0 home draw against Sweden in the second leg of their European play-off qualifier on Monday.
"We have pride, strength and we're stubborn". As expected, Italy continued to dominate possession but Janne Andersson's side were able to thwart any attacks Giampiero Ventura's men attempted.
"We knew it was going to be a tough game and in the end, it was decided on an incident".
"I want to give a big hug to everybody who has always supported me, like Chiello [Giorgio Chiellini], Barza [Andrea Barzagli], Leo [Bonucci], Lele [Gabriele Oriali, team manager] and everybody who's shared these past 10 years with me".
The anxiety levels went up to an entirely different level in the second half. They made the Round of 16 in both 2006 and 2002, but since it's been a barren run for the Scandinavian nation who were unable to qualify for 2010 in South Africa or 2014 in Brazil.