Portland Trail Blazers vs San Antonio Spurs Prediction, Preview and Odds - 04/19/2026

Game Time: 9:00 pm ET, Sunday, April 19, 2026

Venue:  Frost Bank Center, San Antonio, TX

Where to Watch:  NBC, Peacock

DraftKings:  Point Spread:  Trail Blazers +10.5, Spurs -10.5; Over/Under:  222.5 points

Bet365:  Point Spread:  Trail Blazers +10.5, Spurs -10.5; Over/Under:  222.5 points

BetMGM:  Point Spread:  Trail Blazers +10.5, Spurs -10.5; Over/Under:  222.5 points

Portland Trail Blazers:  42-40 (4th place, Northwest Division)

San Antonio Spurs:  62-20 (1st place, Southwest Division)

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Portland Trail Blazers:  7-3 last 10

San Antonio Spurs:  8-2 last 10

The Trail Blazers are entering the playoffs with a 42-40 record overall this season and they were 18-23 in their road games where they will be in this game. They are entering this game on a 3 game winning streak with wins coming against the Los Angeles Clippers, the Sacramento Kings and the Phoenix Suns. Deni Avdija led the team in points in that game with 41 while Jrue Holiday was next on the team with 21 points. Deni Avdija led the team in assists in that game with 12 while Donovan Clingan led the team in rebounds with 11. They were 45.5% from the field, 36.2% from 3-point range, and 73.9% from the free throw line with their shots in that game. Their offense is averaging 115.5 PPG and their defense is allowing their opponents to average 115.8 PPG against them. The Trail Blazers have an ATS record of 45-38 this season and their O/U record is 43-40.

The Spurs are entering the playoffs with a 62-20 record overall this season and they were 32-8 in their home games where they will be in this game. They are entering this game off a loss against the Denver Nuggets. De'Aaron Fox led the team in points in that game with 24 while Devin Vassell was next on the team with 19 points. Stephon Castle led the team in assists in that game with 9 while Stephon Castle led the team in rebounds with 11. They were 45.5% from the field, 31.9% from 3-point range, and 72.2% from the free throw line with their shots in that game. Their offense is averaging 119.8 PPG and their defense is allowing their opponents to average 111.5 PPG against them. The Spurs have an ATS record of 46-35-2 this season and their O/U record is 37-46.

The current betting odds have the Spurs listed as a 10.5 point favorite in this game according to Draftkings Sportsbook. The Spurs have looked great in their games this season with their 62-20 record overall which had them right near the top of the West with one of the best records in the entire NBA. They have looked great on their home court too with their 32-8 home record this season. Meanwhile, the Trail Blazers have looked good in their games this season with their 42-40 record overall which had them right in the middle of the West. They haven't been a great road team though with their 18-23 road record this year. This is the 1st game of a 7-game series between the 2 seeded Spurs and the 7 seeded Trail Blazers in the West for the 1st round of the NBA playoffs. The Trail Blazers have been rolling in their games lately and they are entering this series with a lot of momentum. They are 7-3 in their last 10 games and have won 3 games in a row now, coming off a road win over the Suns in the NBA play-in tournament. They were down late in that game and made a big comeback in the final minutes to beat the Suns on the road, but now they are encountering a completely different animal. The Suns have been up and down all season and weren't playing their best basketball over the last few weeks, but the Spurs have been one of the best teams in the NBA this year since the start of the season and they have been rolling lately too. They are 8-2 in their last 10 games and even though they are off a loss in their last one, they didn't need to win that game. They rested players in that loss and they are going to be ready to go in this one. The Spurs have a lot of momentum coming into the playoffs with the turnaround that they have had this year and they are not going to let a mediocre team like the Trail Blazers spoil their first home game back in the playoffs in years. The best way to place a bet here is on the Spurs to cover the spread in this game. 

Trail Blazers Spurs Prediction:  Our NBA Pick for Sunday, April 19, 2026 (9:00 pm ET start time) is Spurs 132 Trail Blazers 112.

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Portland Trail Blazers: 17-9 ATS revenging a same season loss vs opponent. 33-22 ATS off an upset win as an underdog. 10-1 UNDER in a road game where the total is 220 to 229.5. 12-4 UNDER versus good rebounding teams - outrebounding opponents by 3+ per game. 

San Antonio Spurs: 6-11 ATS as a home favorite of 6.5 to 12 points. 2-6 ATS at home against Northwest division opponents. 10-3 UNDER off a upset loss as a favorite. 12-5 UNDER when playing against a marginal winning team (Win Pct. 51% to 60%).

Portland Trail Blazers:  D. Lillard (PG) Out For Season - Achilles.

San Antonio Spurs:  L. Kornet (C) Day To Day - Shoulder. V. Wembanyama (C) Day To Day - Ribcage. D. Jones Garcia (SF) Out For Season - Ankle.

“It’s a culmination of a tough year, but this group is very resilient. I think we showed that in the fourth quarter. I’m happy for the players. They went through a lot throughout the season, and, being in the playoffs, it’s a great accomplishment.” - Tiago Splitter after his team’s win against the Suns in the play-in tournament on Tuesday.

”I thought the effort was consistent. It’s time to regroup and we’ve got five or six days to prepare. We need to be prepared and as sharp as we can.” - Mitch Johnson after his team’s loss against the Nuggets in their regular season finale on Sunday.

PG Jrue Holiday

SG Toumani Camara

SF Deni Avdija

PF Jerami Grant

C Donovan Clingan

PG De'Aaron Fox

SG Stephon Castle

SF Devin Vassell

PF Julian Champagnie

C Victor Wembanyama

PPG: Deni Avdija (24.2)

APG: Deni Avdija (6.7)

Reb/G: Donovan Clingan (11.6)

PPG: Victor Wembanyama (25)

APG: Stephon Castle (7.4)

Reb/G: Victor Wembanyama (11.5)

Coaches:

Portland Trail Blazers: Tiago Splitter (1st season)

San Antonio Spurs: Mitch Johnson (2nd season)