A dull game had an unexpectedly frantic finale as Uruguay and Paraguay both bagged late goals to share the points in a 1-1 draw and leave the hosts running out of time to qualify for the 2014 World Cup.
It was, for the most part, a dull game of little goalmouth action but plenty of full-blooded challenges, with Suarez initially appearing to cause Paraguay problems, with the visitors picking up two yellow cards in attempting to stop him, but as Uruguay began to dominate, they also looked to be severely limited in ideas and static in movement. There was a scare for the hosts when Victor Ayala came close to putting Paraguay in front from a corner, but Uruguay managed to avoid the shock and resume their attack.
Gonzalez had come the closest for the hosts with a fierce drive from range which Diego Barreto did well to keep out, Uruguay boss Tabarez recognised the need for something to be done and immediately made a double change at half-time, bringing Edinson Cavani and Arevalo Rios on for Cristian Rodriguez and Diego Perez, although somewhat surprisingly, Cavani was moved over to the wing.
Uruguay were aggrieved to be denied a clear penalty not long after the second half kicked off. Cavani, the substitute, appeared to make an impact as he appeared to be pulled down in the area by Cristian Riveros after making a near-post run from a corner, but the referee waved play on, much to the home fans' consternation.
Uruguay were still looking for a break in the final third, but Paraguay were still threatening. Oscar Cardozo got on the end of a fine cross to threaten the hosts' goal, but miscontrolled and lost the chance, as more space started to open up following the home side's switch to a 4-3-3, but Cardozo was then forced to leave the field due to injury, Luis Caballero his replacement.
Tabarez then made his final throw of the dice, replacing Maxi Pereira with Gaston Ramirez in an attempt to simply throw the kitchen sink at Paraguay, yet still the visitors' disciplined defending allowed them to hold firm. Jonathan Fabbro was introduced for the visitors too as they looked for a late winner, but disaster was soon to strike. Suarez had appeared to fade since showing early glimpses of danger, but he suddenly appeared at the back post to get on the end of Nicolas Lodeiro's deep cross, brilliantly volleying past Barreto from an angle.
Uruguay were celebrating, yet they had not been convincing for much of the game when Paraguay got forward, and Diego Lugano was responsible for some more terrible defending to allow the visitors in, getting caught under a long ball and making a mess of his headed clearance, Edgar Benitez stealing in to slot home and stun the home fans.