Downes should be under orders to get a yellow card. If he gets one in the next 4 games, he'll pick up a 2 match ban. So, better to get one tomorrow and miss Wednesday and West Brom than get one then and miss Coventry and/or Norwich, is it? Unlikely he goes all 4 without getting one.
I'd probably start with Larin to help protect Stewart.
Other than that, no need to change anything. We can make changes at Wednesday if we need to. I wouldn't mind seeing Edozie left, Scienza right and Matsuki in number 10 at some point, to see how that goes.