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On one level, it is the title decider. This is the game that people will look back on in 20 years when they talk about the extraordinary 2011-2012 Premier League season. There have been many twists and turns but this is the game that will define the destination of the title.

There might still be big matches to play but surely, even in this craziest season, the winner of this match will go on and win the title?

Imagine what it would mean to Manchester City if they could win and go on to win the league? It would give the club and their players the sense of entitlement, confidence and belief that only comes with winning a title. Doing so against United would only add to that renewed sense of authority in the city and in the Premier League. They would have a hardness and toughness from staying the course over 38 games that would be added to their undoubted ability. And that would serve them well in the future.

We’ve seen it with Arsenal and then Chelsea. Once you win one title, you often go on to win another.

But imagine if they lost. Imagine if, having got back into the title race, they see United win the title at their own ground. That would only reinforce United’s sense of superiority and City’s feeling that they might never get one over their old rivals.

With the financial backing they have, City will keep coming at United, of course. But psychologically it could be a telling blow.

How will that group of players react? How will City’s owner react if they don’t win? Will the owner feel he has to change the manager? Will the club feel they have to make major changes to the squad? Will this group of players even be around to have another go at United? And for those who do stay, do they have the will to start all over again next season?

They might feel the chance will never come their way again.

The clubs are playing for three points on tonight but the effect of the result could impact on the clubs for the next three years.

It is difficult to explain the magnitude of the occasion within Manchester. Speaking to people in the city this week, it is clear that Manchester, collectively, has lost its nerve.

Sir Alex Ferguson spoke about it being a game for masochists and one City fan said: “I’m a wreck, I’m a wreck, I’m really a wreck.”

United fans have never been so excited yet so anxious about a game. City fans are the same. The thought of beating United and wresting the title from them is something that was unthinkable a few years ago and now is within touching distance. But the thought of their greatest rivals winning the league at their ground is almost too much to bear.

For United fans, the thought of Carlos Tevez scoring the winner in the last minute or, the alternative, the thought of seeing Paul Scholes crash one in from 30 yards, means that as a fan, you veer in your mind from the unthinkable to the wonderful.

It has been made worse by the big run-up to this game, with eight days of worrying time. If you’re United, you’ll be thinking: “What if we’d beaten Blackburn at home, what if we’d kept our 4-2 lead against Everton?” If you’re City it will be: “What if we had just beaten Sunderland at home, or not dropped stupid points at Swansea and Stoke?”

The players have to remove all these thoughts from your mind but as a fan it’s impossible.

United took their players away to Wales for a few days before the game, to get them out of the city, away from families, to prepare and relax quietly and in a focused way, like they did before the recent Blackburn game at Ewood Park, when they went to St Andrews in Scotland. City have stayed in Manchester with their normal routine.

Which is the best way? We won’t know until after the game but we do know there won’t be a minute that passes when the players, managers and coaching staff aren’t thinking about this game.

Preparing for a match like this is almost like an out-of-body experience. You don’t remember whether your wife has told you that the washing machine has broken or whether your kid has a cold. All you’re thinking is about your job, the match, the outcome. And trying to make sure the positive thoughts — the goal, the reward, the success — outweigh the negative.

Because of the long build-up, tactically both teams will be prepared to the last detail of where they should be at all times. It means the ultimate result will come down to authority on the pitch. That’s what they will be looking for.

This means which players bring down the ball out of the sky with their first touch early on? Which players head it back to the keeper rather than panic and head it out for a corner? Which players take an extra touch to compose themselves, rather than hooking it forward? Which players look as though they believe it’s their moment? Perhaps, most of all, which players keep their discipline?

We’ve seen the two most recent Manchester derbies massively affected by sending-offs this season, with Jonny Evans at Old Trafford and Vincent Kompany in the FA Cup.

John Terry might have got away with it last Tuesday night, in that his team still went through, but that is a freak of nature. Players that get sent off early on in this game will probably cost their team the title.

Lastly , the players should not let this moment pass them by. They have to grab opportunities like this with both hands. There will be casualties. If they cannot be trusted in these matches, they don’t belong at this level and will be released.

That’s why these players earn the money they do and play for their countries and the biggest clubs: to deliver in these moments, under pressure. That’s how they become considered great players.

When the talking has finished and the worrying about what might happen is over, which players will seize control of the game? Which players will have the willpower, the determination and the nerve to demonstrate their authority tonight?

That will be the key to the outcome of the match, the destination of the title and the immediate future of these clubs.

Meanwhile, Manchester City boss Roberto Mancini said he will trust Mario Balotelli if he plays him in tonight’s Manchester derby, but “only in this game”.

At a news conference four weeks ago, Mancini stated he could “never” trust the unpredictable Italian striker.

The 21-year-old has not played since being sent off against Arsenal earlier this month. At the time Mancini said he would not play again this season.

Balotelli’s dismissal at Emirates Stadium came when a needless foul on Bacary Sagna led to a second yellow card. City went on to lose the game 1-0.

Mancini faces another selection dilemma among the forwards as he ponders Carlos Tevez’s position. “It is impossible for him to be 100 percent after six months without playing,” said the City boss. —Daily Mail.