Atlético Nacional and Deportivo Independiente Medellín have already put their cards on the table for the Clásico Paisa número 346, a one-match quarterfinal in the Copa Betplay Dimayor 2026 that will be played Wednesday, October 14, 2026 at 8:30 p.m. The derby arrives with key absences on both sides, and the lineups released before kickoff shape a knockout game where there is no room to recover once the whistle goes.
The search around Atlético Nacional Vs Medellín is being driven now because the squads are not just for a derby, but for direct elimination. Juan Fernando Quintero is out for Deportivo Independiente Medellín, along with Jeison Medina and Alfonso Simarra, while Atlético Nacional must go without William Tesillo because of muscular fatigue in the rectus anterior of the left thigh, Andrés Reyes because of a sprain of the collateral ligament in the right knee, Marlos Moreno because of a muscle injury to the hamstrings in the right thigh, Andrés Sarmiento because of a muscle injury and Alfredo Morelos while he remains in rehabilitation for a muscle injury to the semimembranosus of the right thigh.
That is the weight of this match: the favorite is still Atlético Nacional, but the gap is not as clean as it looked when the rosters were complete. The two clubs are level on 23 league points, and Medellín has already felt the loss of Quintero, one of its maximum figures, enough to alter the way it attacks. Even so, Atlético Nacional’s list includes Franco Armani and Luis Marquínez among its goalkeepers, a sign that the squad still carries depth even after the absences.
What makes this derby more fragile is that the usual safety net does not exist. Recent editions of the clash have produced goals, but Wednesday’s game is a single match, and the first bad sequence can end the run immediately. For Medellín, the unanswered question is whether enough of its structure survives without Quintero to challenge a rival that already enters as the side expected to control the tie.
By nightfall, the argument around Atlético Nacional Vs Medellín will be settled on the field, not in the squad sheet. The winner moves on from the quarterfinal, and the loser goes home with its best chance at the Copa Betplay Dimayor 2026 already gone.

