Elgin add 15-year-old goalkeeper Stuart Black to the squad as Peter Donnelly is struggling with a shoulder injury.
Paul Miller and Steven Edwards are missing, Mark Nicolson and David Niven doubtful, but Brian Cameron fit again.
Queen's Park head coach Gardner Speirs: "We have to go out and get wins in our remaining games and hope that something else happens in our favour elsewhere.
"This will be a really tough encounter as Elgin always enjoy playing at our place and they have some good players in their squad."
Elgin City manager Ross Jack: "Neither side can afford to lose this game.
"And, whilst we are low on numbers, we went there in similar circumstances a year ago and won."
Source: BBC Sport
Source: BBC Sport