Match ends, Uruguay 2, England 1.
Story of the match:
- England on verge of elimination
- Suarez scores twice for Uruguay
- Rooney equalises with 15 minutes left
- England out unless Italy beat Costa Rica
Luis Suarez left England on the brink of a World Cup exit as his brace gave Uruguay victory in Sao Paulo.
The Liverpool striker was making his return after a month out following knee surgery - and it proved to be bad timing for England as his brilliance was the difference in a fiercely-fought encounter.
Suarez put Uruguay ahead with a first-half header then scored a superb winner six minutes from time after Wayne Rooney's first goal at a World Cup gave England hope of avoiding a second successive Group D loss.
Defeat means the odds are now stacked against Roy Hodgson's England escaping this tough group.
They will be out unless Italy, who beat them in Manaus, defeat Costa Rica on Friday.
England also need Italy to win their final game against Uruguay, which would then give them the chance of qualifying on goal difference if they beat Costa Rica next Tuesday.
But for all the potential, a record of played two, lost two rarely adds up to anything other than elimination at the World Cup. No side have ever progressed after losing their first two matches.
And what an anti-climax it will be for manager Hodgson and his players if England are left playing for nothing other than pride in their final group game in Belo Horizonte.
Uruguay coach Oscar Tabarez claimed Suarez would not be fully fit for the game against England after missing his country's opening 3-1 defeat against Costa Rica.
Suarez may not have been, but he still possessed too much guile and menace for an England team who never built on the promise they showed in losing to Italy.
Rooney struck the bar before he scored and was England's main threat, but Uruguay - or to be more precise Suarez - produced the quality and clinical finishing that decides games such as this.
As expected, Hodgson played Rooney in a more central role and moved Raheem Sterling wide, but England struggled to find the energy levels that had fuelled such a positive performance against Italy.
Daniel Sturridge and Sterling could not pose the same threat as they had in Manaus either, Instead, it was Rooney who came closest, firing a first-half free-kick just inches wide and then powering a far-post header against the bar from one yard out.
At the back, England looked nervous and were fortunate to survive when Phil Jagielka's sliced clearance fell to Cristian Rodriguez, whose rising drive from the angle just cleared the bar with goalkeeper Joe Hart beaten.
Uruguay were the more ordered side and their opening goal arrived from the most inevitable source seven minutes before half-time.
Steven Gerrard conceded possession in midfield and, from Edinson Cavani's perfect cross, Suarez pulled away from Jagielka to head past Hart.
As England heads dropped, the former Ajax forward celebrated with the Uruguayan medical team who have nursed him back to fitness.
England, as they did against Italy, responded strongly, forcing Uruguay keeper Fernando Muslera to block a Sturridge effort at his near post.
In a chaotic start to the second half, Suarez was wasteful and Cavani was guilty of a bad miss.
Rooney then found room in the area only eight yards out, but shot straight at Muslera.
Hodgson, knowing what defeat would mean, made his first change after 64 minutes by sending on Ross Barkley for Sterling, who had struggled to impose himself on Uruguay as he had against the Italians.
England were moving into desperate times as the clock ran down - and it was Rooney who produced the goods with the equaliser 15 minutes from time, tapping in from close range from Glen Johnson's perfect cross.
Just as the momentum looked to be shifting towards England, Suarez was the tormentor again.
He latched on to a long punt from Muslera, which Gerrard could only flick on with his head, and then steadied himself before rifling an unstoppable finish past Hart.
It was the final word on this game - and probably on England's 2014 World Cup hopes in Brazil.
View more pictures of England's defeat here.
- 20GonzálezSubstituted forFucileat 78'minutes
- 3GodínBooked at 9mins
- 14LodeiroSubstituted forStuaniat 67'minutes
- 17Arévalo Rios
- 9SuárezSubstituted forCoatesat 88'minutes
- 23M Silva
- 14HendersonSubstituted forLambertat 87'minutes
- 19SterlingSubstituted forBarkleyat 64'minutes
- 4GerrardBooked at 68mins
- 11WelbeckSubstituted forLallanaat 71'minutes
- Carlos Velasco Carballo
- Shots on Target
Second Half ends, Uruguay 2, England 1.
Attempt missed. Phil Jagielka (England) header from the centre of the box misses to the left. Assisted by Wayne Rooney with a cross following a corner.
Corner, England. Conceded by Sebastián Coates.
Attempt missed. Steven Gerrard (England) right footed shot from outside the box misses to the left. Assisted by Gary Cahill.
Foul by Rickie Lambert (England).
Diego Godín (Uruguay) wins a free kick in the defensive half.
Substitution, Uruguay. Sebastián Coates replaces Luis Suarez.
Delay over. They are ready to continue.
Delay in match Luis Suarez (Uruguay) because of an injury.
Substitution, England. Rickie Lambert replaces Jordan Henderson.
Wayne Rooney (England) wins a free kick on the left wing.
Foul by José María Giménez (Uruguay).
Goal! Uruguay 2, England 1. Luis Suarez (Uruguay) right footed shot from the right side of the box to the centre of the goal.
Corner, Uruguay. Conceded by Gary Cahill.
Corner, Uruguay. Conceded by Gary Cahill.
Daniel Sturridge (England) wins a free kick on the right wing.
Foul by Jorge Fucile (Uruguay).
Substitution, Uruguay. Jorge Fucile replaces Álvaro González.
Attempt saved. Daniel Sturridge (England) right footed shot from the centre of the box is saved in the bottom right corner. Assisted by Leighton Baines with a cross.