Joe Cokanasiga among 10 changes for England for USA clash

Cokanasiga's presence makes up for Tuilagi being omitted from the 23 after the Leicester wrecking ball laid waste to Tonga with a devastating two-try salvo and series of marauding runs.

Captain Owen Farrell drops to the bench so George Ford, who leads the team, continues at fly-half inside a new-look centre combination of Piers Francis and Jonathan Joseph.

Ruaridh McConnochie wins his second cap on the right wing with Elliot Daly continuing at full-back and Willi Heinz getting the nod ahead of Ben Youngs at scrum half.

There are three survivors from the pack that start against Tong in prop Joe Marler, flanker Tom Curry and number eight Billy Vunipola.

Vunipola started throughout the warm-up series and continues his run of games after a frustrating spell of injury that saw him suffer three broken arms in a year.

Henry Slade is absent despite making his comeback against Tonga after three months out with a knee injury incurred during last season's Gallagher Premiership final.

Slade came on at full-back at the Sapporo Dome and hurt the same knee that resulted in his summer on the sidelines but was able to finish the match after receiving treatment.

Openside flanker Sam Underhill drops out of the squad completely and there is a return for back row Mark Wilson on the bench following his struggle with a knee injury.

Coach Eddie Jones said: "The four-day turnaround is something we experimented with against Japan last autumn and so the players have had some experience of it.

"You have to make sure the two days before the game are exactly the same as you would normally have for any other game.

"What I see now is players handling it really well but the game on Thursday will be the litmus test.

"It is our best 23 and we have looked at some players that would benefit not playing in this game, so have kept them out of the 23.

"But it is a great opportunity for another set of players to do the team proud."

"USA are a tough, physical team who are extremely well coached by Gary Gold. There are a number of players who our guys know really well and are a team we respect."