Derby have received a new nine-point deduction for breaking the EFL's financial rules, taking their total penalty to minus 21 points this season.
The latest punishment effectively now all-but relegates the Rams to League One and currently sit rock bottom of the Championship with minus three points.
A statement from the EFL read: "The EFL has today confirmed that Derby County Football Club has received a nine-point sporting sanction with a further three points suspended after admitting to breaches of the League's Profitability and Sustainability (P&S) rules.
"This matter has been determined under the terms of an 'Agreed Decision' reached between the League and the Club and was formally ratified by an Independent Disciplinary Commission Chair as per the requirements of EFL Regulations.
"The Club, via its Administrators, has also agreed, following last week's adjournment, to the dismissal of its appeal against the 12-point deduction imposed as a consequence of the Club entering Administration in September 2021, meaning that the sanction continues to apply.
"The new nine-point penalty has been applied immediately, resulting in the Club having been deducted a total of 21 points from this season's 2021/22 Championship table.
"The suspended three-point deduction will take effect if the Club does not comply with the terms of the budget as set out in the 'Agreed Decision' for the remainder of season 2021/22.
"Both decisions are now final and are not subject to any further rights of appeal under EFL Regulations."
Wayne Rooney's side would be mid-table without their cumulative points deductions but now need a miraculous survival effort to stay in England's second tier.
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