Striker Ross Stewart remains sidelined with a thigh injury, while Ellis Simms is a doubt with a toe issue.
Dennis Cirkin could return after a hamstring problem but will face competition from Aji Alese on the left of defence.
Injury setbacks have meant head coach Tony Mowbray has been forced to alter his side’s shape in recent matches.
Here’s our predicted XI for the Preston fixture:
1. GK: Anthony Patterson
Has started every league game between the sticks this season after establishing himself as the club's No 1 stopper. Photo: Martin Swinney
2. CB: Luke O'Nien
Continues to play as a centre-back and has adapted when the side have switched from a back three to a back four within games. Photo: FRANK REID
3. CB: Danny Batth
The airel presence in Sunderland's backline. Batth's experience and physicality have been important for Sunderland this season. Photo: Frank Reid
4. CB: Aji Alese
Dennis Cirkin could be available following an injury setback yet Alese's recent performances would make it harsh to drop the former West Ham man. Photo: Frank Reid