'Serious blow' for the English camp after Atkinson goes off suffering a hamstring problem.
The English seamer increased the fitness woes of the England squad upon exiting the ground early on day two of the fourth Ashes Test versus the Australians.
The right-arm seamer felt a problem in his left hamstring post-delivery in his spell during the morning session.
The touring camp stated the 27-year-old reported "discomfort" and required time on the sidelines in order to be assessed "in the coming hours".
The final Test of the tour beginning on 4 January starts on Sunday, 4 January.
The English side has been without fast bowlers one seamer due to knee trouble and Jofra Archer with an abdominal strain on this Ashes tour.
Matthew Fisher was brought into the squad to provide backup.
His form was underwhelming in the opening two Tests, taking just a handful of scalps.
He was omitted from the previous Test, only to be brought back for the Boxing Day match as Archer's replacement.
The county bowler improved at the MCG, claiming a couple of wickets with the ball, and scoring 28 runs while batting among just a trio of English batsmen to reach double figures.
After bowling one over at the end of day one, he came back for the second day's play and had nightwatchman Scott Boland caught behind.
Unfortunately, on the final ball of his spell, he sent down a slower ball to the batsman and promptly felt his left hamstring.
Gus Atkinson was brought back for the Boxing Day Test having missed the Adelaide game.
A mindfulness coach and digital wellness advocate with over a decade of experience in helping individuals achieve balance in the modern world.