England’s hopes of qualifying from Group D looked dashed due to to a brace from Luis Suarez either side of Wayne Rooney’s equalizer.
The Manchester United forward, 28, scored his first goal in a World Cup to level the scores with 15 minutes left when he tapped home a Glen Johnson squared pass to give England hope.
Rooney could have dragged England level earlier but shot straight at Fernando Muslera ten minutes into the second half after he knocked the ball past a La Celeste defender.
Suarez killed English dreams though when he tucked the ball past Joe Hart after Muslera’s goal-kick has flicked on by England Captain Steven Gerrard.
Suarez had earlier given Uruguay the lead when he scored a controlled header past Hart but the spine of the England team were largely at fault.
Gerrard and Jordan Henderson were caught out and allowed Nicolas Lodeiro space in midfield and teed up Edinson Cavini who easily lost Glen Johnson and FCavani’s cross was headed in by El Pistolero when Phil Jagielka failed to follow the runner.
England did show signs of promise in the first period though, Wayne Rooney curled a free-kick narrowly past the post after ten minutes and later hit the bar with a close range header from Gerrard’s free-kick.
Uruguay threatened themselves after quarter of an hour when Jagielka’s sliced clearance landed at the feet of Cristian Rodriguez who shot inches over from the edge of the box.
A low Luis Suarez corner was also blazed over from Cavani.
Daniel Sturridge had the last opportunity though when Rooney’s intelligent through ball found the Liverpool man who had his shot from a tight angle parried by Fernando Muslera at his near post.
Controversy overshadowed the match however as the stand in Uruguay Captain Diego Godin should have been sent off for putting his elbow up to Sturridge’s face in a body check. He had previously been yellow carded for a handball.
The Three Lions now need Italy to defeat both Costa Rica tomorrow and Uruguay next Tuesday while England must also beat Costa Rica themselves, relying on goal difference, to have any chance of making it to round two.