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Originally Posted by just another ref
3.2 SITUATION B: A1, who is designated as a starter 10 minutes prior to the scheduled starting time of the game, becomes ill or is injured before the game starts.
RULING: A1 may be replaced without penalty as illness or injury is considered to be an extenuating and unavoidable situation which permits a substitution.
This is as least as relevant as the above mentioned 3.3.3.
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Are there eligible substitutes available to take A1's place in the starting line-up? If so, then there is no problem. The situation doesn't pose a conflict between playing with five and bringing in a team member who is NOT eligible. It simply allows someone who is eligible to enter.
All that your play ruling tells us is that a substitution is permissible for an ill or injured starter when there is an eligible substitute available. That's not shocking. That doesn't help resolve any issues.
Now what do you do if there aren't any eligible substitutes around? That would be a relevant play ruling. BTW I believe that you can't start the game.