CLEVELAND, Ohio — Injuries are not an excuse in the NBA. They are a condition of employment. Every season tests a team’s depth, adaptability and internal trust.
The teams that last are not always the healthiest. It helps, but survival in this league is determined by response. Some teams use injuries to expand belief, adjust and uncover solutions when players go down. Others fracture, lose clarity, stall growth and let injuries become a crutch that defines their identity and ultimately their season.
Monday’s contest that saw the Oklahoma City Thunder (36-8) walk out of Rocket Arena with a 136-104 victory over the Cavs never felt competitive for that very reason.
The Thunder did it without All-Star Jalen Williams, without Isaiah Hartenstein, and after losing Alex Caruso and Jaylin Williams to injuries during the first half of the game. By the final buzzer, 12 Thunder players had seen the floor. Their identity never wavered.
Yes, the Cavs were missing Darius Garland, Sam Merrill and Max Strus, who has yet to suit up this season due to offseason foot surgery. But Cleveland, now 24-20, used its 24th different starting lineup of the season. By game 44, the team should be better accustomed to lineup changes.
Oklahoma City trails only the Clippers in total games missed due to injury and still owns the league’s best record and net rating (13.1 per 100 possessions).
The Thunder treats injuries as an opportunity. Cleveland treats them as a pause button.
“We try to have a system and a team that can be highly adaptive. Even when [Jalen Williams] is available, he’s not on the court all the time, so we’re used to playing with units without him. We’d like to have everybody available, but when they’re not, we try to make the most of the opportunity and try to expand the team in different ways,” Thunder head coach Mark Daigneault said pregame. “They’re never ideal, but we always try to use these circumstances as an opportunity to continue to build up our team and build up the confidence and the impact of the players that are available. We’ve benefited from these stretches and found silver linings in the past.
“Every team deals with certain truths in an NBA season with 82 games. Your schedule at times is tough. You have injuries at different times. There’s times where you get a bad whistle. There’s times where the other team shoots the ball really well. There’s other times where you shoot the ball poorly. Those are very predictable challenges that you face in an NBA season. And we try to be a team that looks at those things as an opportunity to grow our muscle and not be a victim, not shift blame, take responsibility for our performance. And ultimately, if you take that mindset to those challenges, you can get stronger from them.”
That’s a mindset that showcases why the Thunder are the reigning champions. And more importantly, the consistency behind their words and approach showed up in every possession. Oklahoma City moved the ball, trusted secondary creators, defended with purpose and played as if continuity was not dependent on availability. The Cavs, meanwhile, continue to look and sound like a team waiting to be whole before deciding what it actually is.
But this isn’t early into the season anymore, and the expectations were clear from the beginning.
Cleveland has the most expensive roster in the NBA and the only team sitting in the second apron. That financial commitment is supposed to signal belief in internal depth and a deep playoff run. Still, the rotation has steadily narrowed.
Early on, Kenny Atkinson spoke openly about optionality — multiple ball handlers, interchangeable wings, varied frontcourt looks. By mid-January, that vision has condensed into nine or 10 players most nights, with stars reinserted quickly when possessions stall. The downstream effect has caused heavier minutes leading to late-game fatigue, a half-court offense that stagnates and fewer opportunities to develop counters when primary actions are taken away.
“It’s hard to play more than 10, [but] I definitely think at the big spot, we’re definitely deeper,” Atkinson said during training camp.
Cleveland has often looked most unpredictable when the ball moves away from its stars, when pace increases, movement improves and energy flows from the bench rather than being demanded from the same few creators.
There are plenty of areas that need refinement over the final 38 games. When asked how his team could evolve in the second half of the season, Atkinson was blunt.
“Depends on health,” he said. “I think the grade is incomplete. I do know healthier we will be better.”
That might be true. It is also incomplete thinking.
Health is not a plan. It is a hope.
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The Cavs were one of the healthiest teams in the league last regular season — spoiled by injury luck. They rode that stability to the second-most wins in franchise history. But when the playoffs arrived and injuries followed, Cleveland had no muscle memory for discomfort. They were searching for answers under pressure.
This season was supposed to be about learning that lesson early.
The Cavs are facing adversity earlier. Whether it’s being processed is another matter. Familiar mistakes persist, and honest evaluation is delayed in favor of waiting on full strength. That is a dangerous exercise when history suggests that ideal health is rarely part of the equation.
Garland was just beginning to regain his burst after offseason surgery on his left great toe, recently admitting he was playing at 70 percent, before injuring the great toe on his other foot. Betting on him being fully healthy for an entire playoff series is optimistic at best.
Cleveland’s recent postseason résumé supports that skepticism.
In 2024, Dean Wade missed the entire first round against the Magic due to a knee injury. Jarrett Allen suffered a pierced rib that ended his postseason in that same series. Donovan Mitchell played through a calf injury in the conference semifinals against Boston before being sidelined for the final two games.
That same issue for Mitchell resurfaced during the 2025 semifinals loss to Indiana. In that series, De’Andre Hunter, Evan Mobley and Garland all missed time.
It can be dismissed as bad luck. It can also be viewed as a measure of preparation — whether its depth has been empowered in tight moments long before desperation sets in. Teams that use those situations as investment see trust expand when games get tense and stakes rise. Teams that don’t watch that trust erode, and the stage magnifies the cracks.
Expecting the Cavs to breeze through two playoff rounds unscathed would require a level of mercy the basketball gods have not shown them. The more responsible approach is to condition for instability.
That is where Oklahoma City provides the clearest blueprint.
Cleveland, by contrast, has veterans at the end of the bench who remain theoretical solutions.
Larry Nance Jr. returned from injury nearly two weeks ago and has appeared once for five minutes. Thomas Bryant, who played meaningful minutes during Indiana’s Finals run last season, has logged five minutes or fewer in each of his last three appearances.
“It’s on me to find the combinations,” Atkinson said after a loss to the Charlotte Hornets on Dec. 14.
Finding them requires risk. It requires creativity. It requires benching stars when possessions stall and empowering role players before the option is taken out of Atkinson’s hands. It means accepting short-term losses for long-term readiness.
Monday displayed two teams staring at the same obstacle and reacting in opposite ways. One has won a championship. The other is waiting for a version of itself that may never fully arrive.
If Cleveland wants a different postseason outcome, it cannot keep hoping for different circumstances. It has to start behaving like a team that expects chaos and is prepared to grow from it.