Although fans know that Simon dealt with a back injury in the past and now is facing broken bones from his second crash, some also speculated that he had a stroke around the same time as his first crash.
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This rumor seemed to have stemmed from perceived changes in the judge's face. Nonetheless, there were never any reports or announcements confirming that Simon had a stroke. It's possible and perhaps even likely that Simon's face changed as a result of both aging and some careful plastic surgery.
It's also possible that changes in his diet or his environment could have contributed to the supposed changes in his face. Ultimately, though, it doesn't seem like fans need to worry that Simon also suffered a stroke on top of the injury to his back in 2020.
Simon has enough to recover from without having to deal with recovering from ailments that he doesn't actually have. Fans can rest assured that when it's safe to do so (and when he's fully healed), Simon will be delivering more judgmental comments for millions of viewers.