The Ravens are largely healthy entering their Week 4 “Sunday Night Football” showdown against the Buffalo Bills at M&T Bank Stadium, with one notable exception.

Starting left guard Andrew Vorhees, who has a left ankle injury, did not practice for a third straight day Friday in Owings Mills and is listed as doubtful on the final injury report of the week. He was also seen with a heavy wrap around the ankle when he made a brief appearance on the field in street clothes.

Coach John Harbaugh said after practice that a decision on Vorhees’ availability would go right up until game time, but it’s unlikely that the 2023 seventh-round draft pick will be able to go.

If Vorhees doesn’t play, Baltimore has a few options, including moving versatile right tackle Patrick Mekari to the inside and starting rookie second-round draft pick Roger Rosengarten at right tackle.

Mekari has just 10 career snaps at left guard, however, and has been a dealing with a neck injury this week, though he did practice for a second straight day Friday after not practicing Wednesday. Rosengarten did not play in Baltimore’s win over the Dallas Cowboys last week, but he did rotate in each of the first two weeks.

Other possibilities include Ben Cleveland, though he hasn’t take a snap at left guard since 2021, and veteran Josh Jones, who has 63 career snaps there.

Whatever route the Ravens (1-2) go, it will be a challenge. The Bills have a potent defensive front that includes defensive tackles Ed Oliver and DaQuan Jones as well as edge rushers Greg Rousseau and Vonn Miller.

Buffalo (3-0) has allowed just 4.2 yards per play this season, the second-best mark in the NFL, and is also second in yards per pass allowed (4.4). The Bills’ 11 sacks are fifth-most in the league.

The only other player missing for Baltimore on Friday was cornerback Jalyn Armour-Davis (hamstring), who was ruled out.

The Bills, meanwhile, will be without linebacker Terrel Bernard (pectoral), cornerback Taron Johnson (forearm) and reserve right tackle Tylan Grable (groin), who was placed on injured reserve. The loss of Bernard is a blow to a unit that is already thin with fellow linebacker Matt Milano out until at least December with a torn left biceps.

Second-year player Dorian Williams has been starting in place of Milano at weakside linebacker, while third-year player Baylon Spector has filled in for Bernard in the middle. Cam Lewis, meanwhile, has played in the slot for Johnson each of the past two weeks.