Coach Gennaro Gattuso acknowledged that only "someone without blood running through their veins" wouldn't feel nervous as Italy attempts to avoid failing to qualify for a third consecutive World Cup.

Gattuso is still just as feisty and gritty as when he played on the Italy team that won the country's fourth World Cup in 2006.

Ahead of Thursday's playoff match against Northern Ireland, he also suggested he sent home talented winger Federico Chiesa in what could amount to a definitive break with the standout player of the European Championship trophy run five years ago.

"It's undeniable that there's nervousness," Gattuso said Monday."Only someone without blood running through their veins wouldn't feel it. But we need to do a good job of transmitting a lot of positivity."

Positivity, however, is not what describes Italy's performances in the playoffs for the previous two World Cups, when the Azzurri were eliminated by Sweden and North Macedonia, respectively.

Italy is in jeopardy at the same stage for the coming World Cup in North America after two losses to Norway in qualifying. The Azzurri need to beat Northern Ireland at home in Bergamo and then Wales or Bosnia and Herzegovina away next week to avoid going at least 16 years without even playing a match at soccer's biggest event.

"There are no alibis," Gattuso said."It's useless to think if we could have done better. The only thing we should be thinking about is Thursday's game. Forget that we've won four World Cups, two Euros and an Olympic title. For us, the only game is Thursday's.

"All of the players that are here today know what we're playing for and how important it is."

'Useless' for Chiesa to stay

Chiesa was sent back to Liverpool upon briefly rejoining the national team for the first time after an almost two-year absence.

"He had some minor (physical) issues and we decided that it was useless for him to stay," Gattuso said.

But then why are other injured players like Sandro Tonali, Gianluca Scamacca and Alessandro Bastoni staying with the team? Especially after Gattuso announced when he took over from the fired Luciano Spalletti in June that injured players would remain with the squad to improve team spirit.

"Because not every player has the same frame of mind," Gattuso said."When I hear that someone is wavering, that's when I know I need to make a choice. We decided it together. He felt he wasn't up to it and he went home. I need to accept it."

Bologna winger Nicolo Cambiaghi has replaced Chiesa.

Chiesa has played only sparingly since joining Liverpool from Juventus two years ago, and started only one Premier League match this season.

Northern Ireland also lost a key player Monday, when centerback Daniel Ballard was ruled out with an injured hamstring.

The Sunderland defender is among the few with Premier League experience for Northern Ireland.

Conor Bradley, Northern Ireland's captain and Liverpool right-back, was already out injured.

Team dinners

Since Gattuso was not able to convince soccer authorities to set up a training camp in the four months since Italy last played, he and delegation chief Gianluigi Buffon embarked on a tour up and down Italy — plus trips to London, Saudi Arabia and Qatar — to share dinners with the squad players in order to maintain team spirit.

"There was no whiteboard or markers," Gattuso said. "We didn't go to talk about football or tactics. …We were there to create team unity."

Gattuso said he chose to play in Bergamo's 23,500-seat stadium to create a more positive atmosphere. When Italy lost to Norway at the San Siro in November, he noticed that AC Milan and Inter Milan fans would whistle at players from opposing clubs.

"At the first errant pass you start hearing the whistles," Gattuso said."Whereas, when we played in Bergamo, we got cheered at halftime when it was 0-0."

Dealing with adversity

Italy led Norway 1-0 at halftime in November, before Norway scored four second-half goals.

"I really worked a lot over these months at dealing with adversity. One event shouldn't change the dynamics of a match," Gattuso said."It depends on how you react and deal with it."

The playoff comes following a string of successes in other sports by Italians — from the Winter Olympics and tennis, to Formula One and even baseball.

"These things go in cycles," Gattuso said.

"When I see us winning in other sports it gets me motivated. It makes me feel pride. Right now our history tells us that we're struggling. But we've got a big chance here to reach our goal."

If Italy does qualify for the World Cup, it will be in Group B with co-host Canada, Qatar and Switzerland.