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England fear fly-half Marcus Smith could miss the entire Six Nations Championship after sustaining a calf injury in a training session on Monday.
Meanwhile, Charlie Ewels has returned to the England squad to prepare for the start of the Six Nations after illness caused Nick Isiekwe to withdraw from a training camp in Girona.
Ewels, yet to appear in a Test match under Steve Borthwick, joins a group of back-five forwards that has already been depleted by the international retirement of Courtney Lawes and a knee injury to George Martin.
Maro Itoje, Ollie Chessum and Alex Coles are all in contention to feature against Italy on February 3, with two potential debutants, Ethan Roots and Chandler Cunningham-South, also capable of covering blindside flanker.
Who is in the England Six Nations squad?
Steve Borthwick initially named a 36-man squad for the Six Nations featuring seven uncapped players. Since then, four players have withdrawn: Luke Cowan-Dickie, Nick Isiekwe, Oscar Beard and Ollie Lawrence. They have been replaced by Jamie Blamire, Charlie Ewels, Max Ojomah and Will Muir.
Telegraph Sport columnist Will Greenwood has offered analysis of each player selected
Forwards
Ollie Chessum (Leicester Tigers, 18 caps)
Dan Cole (Leicester Tigers, 107 caps)
Alex Coles (Northampton Saints, 3 caps)Luke Cowan-Dickie (Sale Sharks, 41 caps)
Chandler Cunningham-South (Harlequins, uncapped)
Ben Curry (Sale Sharks, 5 caps)
Theo Dan (Saracens, 7 caps)
Alex Dombrandt (Harlequins, 15 caps)
Ben Earl (Saracens, 25 caps)
Ellis Genge (Bristol Bears, 58 caps)
Jamie George (Saracens, 85 caps) – captain
Joe Heyes (Leicester Tigers, 7 caps)Nick Isiekwe (Saracens, 11 caps)
Maro Itoje (Saracens, 76 caps)
Joe Marler (Harlequins, 88 caps)
Beno Obano (Bath Rugby, 3 caps)
Tom Pearson (Northampton Saints, 1 cap)
Ethan Roots (Exeter Chiefs, uncapped)
Will Stuart (Bath Rugby, 33 caps)
Sam Underhill (Bath Rugby, 30 caps)
Added: Jamie Blamire (Newcastle Falcons, 6 caps)
Added: Charlie Ewels (Bath Rugby, 30 caps)
Backs
Oscar Beard (Harlequins, uncapped)
Danny Care (Harlequins, 96 caps)
Elliot Daly (Saracens, 64 caps)
Fraser Dingwall (Northampton Saints, uncapped)
Immanuel Feyi-Waboso (Exeter Chiefs, uncapped)
George Ford (Sale Sharks, 91 caps)
Tommy Freeman (Northampton Saints, 3 caps)
George Furbank (Northampton Saints, 6 caps)Ollie Lawrence (Bath Rugby, 21 caps)
Alex Mitchell (Northampton Saints, 11 caps)
Tom Roebuck (Sale Sharks, uncapped)
Henry Slade (Exeter Chiefs, 57 caps)
Fin Smith (Northampton Saints, uncapped)
Marcus Smith (Harlequins, 30 caps)
Ben Spencer (Bath Rugby, 4 caps)
Freddie Steward (Leicester Tigers, 31 caps)
Added: Max Ojomoh (Bath, uncapped)
Added: Will Muir (Bath, uncapped)
