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At the 2019 under-18 championships, Josh Worrell was Vic Metro’s leading goalkicker with hauls of four against Western Australia and three against South Australia. However, Worrell appears best suited to defence, with his impressive closing speed and excellent ability to read the ball in flight, take an intercept mark and rebound with his penetrating left foot seen as key strengths. He is also considered to be strong overhead, a good decision maker and has demonstrated a high work rate through his repeat efforts. Worrell made his AFL debut against St Kilda in Cairns in June 2021. In 2023, the defender signed a two-year contract extension. He overcame a pre-season hamstring injury to finish 2023 with 14.6 disposals across 12 games. He was also rated elite in tackles in 2023, averaging 2.1 a game. Worrell played the first nine games of 2024, before a broken arm resulted in him missing three months of footy. He returned for the final four games of 2024.