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James is refusing to give up on his dream of joining them in Qatar and has spoken to specialists who believe he could be ready to play by the end of the month.
England face Wales in their third and final Group B game on November 29 and are hopeful of progressing to the first knockout round and beyond.
Fullback James, 22, was in blistering form for Chelsea prior to getting hurt and was Southgateâs first-choice right-back for the tournament.
The England head coach must now decide whether to take a huge gamble and include James in the tour party heading to the desert.
James would miss those two opening games and still have to work flat out to be ready after that.
The absence of James has caused a massive headache for Southgate and England.
Fellow right-back Kyle Walker of Manchester City has not played since undergoing groin surgery on October 6.
He has been declared fit to go to the tournament but is woefully short of match sharpness.
Liverpoolâs out-of-sorts Trent Alexander Arnold and even Arsenalâs converted centre-back Ben White are being considered for the right-back slot.
Taking James would be a big gamble on a player who only recently was on crutches after damaging ligaments playing for Chelsea in a Champions League match at Milan.
But it has happened before. Former England boss Sven Goran Eriksson took crock striker Wayne Rooney to the World Cup in Germany even though he was still on his way back after breaking bones in his foot.
Southgate named Harry Maguire and Jordan Henderson in his Euro 2020 squad last summer despite the pair carrying injuries into the tournament.
Southgate submits a final squad list to governing body FIFA on Monday, 24 hours before flying out to Qatar.