Who Should I Start for Fantasy Football Week 18? Josh Johnson, Josh Allen, Joe Burrow, Geno Smith, Jalen Hurts, Philip Rivers, Aaron Rodgers, Chris Oladokun, Cam Ward, J.J. McCarthy

Buffalo Bills head coach Sean McDermott said on Monday that quarterback Josh Allen (foot) is dealing with "some soreness" in his right foot, much like he was last week, but he might be slightly better this week, according to Alaina Getzenberg of ESPN. The Bills will see how Allen looks over the course of the week, but as of right now, fantasy managers should expect him to be available to play in a juicy Week 18 matchup against the division-rival New York Jets.

The 29-year-old underwent precautionary X-rays after Sunday's loss to the Philadelphia Eagles, and they came back negative. Despite not being 100% on Sunday, the former MVP did run the ball seven times for 27 yards and two touchdowns in the one-point loss to Philly. Allen went 23-for-35 passing for 262 yards without a TD or interception as a passer. Depending on how Allen progresses this week, it's still possible that Buffalo decides to shut him down for the regular-season finale.

Cincinnati Bengals quarterback Joe Burrow will play in the Week 18 regular-season finale against the division-rival Cleveland Browns on Sunday, according to head coach Zac Taylor. Although both teams are eliminated from the playoffs, Taylor said starting Burrow gives the team the best chance to win, and the Bengals are trying to close out a disappointing 2025 season with a three-game winning streak. Since Week 11, Cincy's offense ranks fourth in the league in third-down conversions and is sixth in red-zone efficiency. On the defensive side of things, the Bengals rank eighth in the NFL in third-down conversions and are 12th in red-zone efficiency.

In the Week 17 win over the Arizona Cardinals, Burrow went 24-for-31 passing for 305 yards, two touchdowns, and no picks. Burrow has made only seven starts in 2025 due to a turf-toe injury that required surgery, but he's now gone over 300 passing yards in back-to-back games with six TDs and no picks. Burrow will have a challenge to make it three straight 300-yard games to close out the year in Week 18 against a stout Browns defense.

Las Vegas Raiders head coach Pete Carroll said on Monday that quarterback Geno Smith (ankle) doesn't have a high-ankle sprain, but the injury is still significant, according to Ryan McFadden of ESPN. Smith left in the second half of Sunday's loss to the New York Giants and never returned. It was initially reported that the 35-year-old signal-caller suffered a high-ankle sprain, although Carroll has refuted that.

Still, with one week left in the 2025 season, it seems unlikely that Smith will play in the Week 18 regular-season finale this Sunday against the division-rival Kansas City Chiefs. Smith has been a massive failure in his first year with the Raiders, going 2-13 in his 15 starts with 3,025 passing yards, 19 touchdowns, and a league-high 17 interceptions. Backup Kenny Pickett will most likely get the start this weekend in a meaningless game against KC.

Tennessee Titans rookie quarterback Cameron Ward, the first overall pick back in April, has completed 59.6% of his passes for 3,117 yards, 15 touchdowns, and seven interceptions in his first year in the NFL. He's added 148 rushing yards and a score while also fumbling a league-high 11 times (losing seven). Ward's 79.8 passer rating ranks 26th out of 27 qualifying QBs. He's been sacked 55 times, tied for the most in the NFL. The 23-year-old came into the NFL with a sharp learning curve after spending most of his college career in an Air Raid system.

Ward has made some wow plays with his strong arm, but "there are some around the NFL who are concerned his accuracy will have a ceiling if he doesn't refine his mechanics," according to The Athletic's Jeff Howe. Ward's scrambling ability can help him compensate for some of it, but in the long term, he could be inconsistent if he doesn't clean up his mechanics.

Minnesota Vikings quarterback J.J. McCarthy (hand) is progressing in his injury recovery, and the swelling has come down in his throwing hand, according to head coach Kevin O'Connell. McCarthy has a hairline fracture in his right hand that kept him out of the team's Week 17 win over the Lions. Still, there remains a possibility that he could return for the final game of the season, a Week 18 divisional matchup with the Packers.

McCarthy has had a rough showing in his first year as a starter, making Justin Jefferson one of the biggest disappointments in fantasy this season. That said, in any leagues with a Week 18 championship, the return of McCarthy is the only way fantasy managers should consider starting Jefferson one last time. In the two games started by undrafted rookie Max Brosmer, Minnesota has averaged 161.5 total offensive yards, with Jefferson finishing as the WR94 and WR48.