X Factor star Lucy Spraggan will have to decide today whether or not she can perform on this week's show.
The ill singer missed last Saturday's latest performance, and was controversially given a bye into the next round by show bosses.
But with the 21-year-old still ill, Lucy may be forced to quit the competition.
“Her health comes first and the show comes second at the moment," said pal Rylan Clark.
We reported yesterday that Lucy had yet to attend any of this week's rehearsals, blaming exhaustion.
Having been out partying for most of last week, it's hard to see how anyone is to blame but herself.
Insiders have claimed that the decision whether or not to sing will be down to Lucy.
A source told The Sun newspaper today: “It’s completely up to her when she wants to come back to the show and there is no pressure from the producers or anyone else.”
In bad news for Lucy, bookies have tipped the youngster to be eliminated even if she does sing.
She is 11/2 to leave the show this weekend with William Hill and the one time front runner is now a 50/1 outsider to win the recording contract.
“Lucy seems to be buckling under the pressure of the X Factor with viewers are losing their love for her. Lucy need to put in a fantastic performance or this weekend could be her last,” said William Hill spokesman Mark Young.
If Lucy doesn't quit, she's set to perform Rhianna's Umbrella for this weekend's fifth live show.
However if she does leave the competition, it's unclear what could happen.
This week's elimination could be axed, with votes being carried over to next week's show, or there may simply be one less act in the final.
Bosses could also decide to bring another act back, having done similar last year when Frankie Cocozza left the show midway through the series.
[cat c="the x factor"]The X Factor 2012[/cat] continues this Saturday night on ITV1 with a Number Ones themed night.
The latest results show follows on Sunday evening, which will feature performances from Rita Ora and No Doubt, as well as one more act being given the boot.