Andrew Crofts, De Zerbi's former assistant at Brighton, has joined as an assistant coach, while Ali James arrives as head of medical services, Tom Tombleson as head of athletic development and Agostino Tibaudi as strength and conditioning coach.
Crofts, who worked under De Zerbi during his time on the south coast and most recently served as Fabian Hurzeler's assistant, arrives shortly after academy transition coach Stuart Lewis left for Ipswich. He also remains part of Craig Bellamy's Wales coaching set-up and is expected to continue in that role alongside his new position at Spurs.
He joins a growing backroom group that already includes Bruno Saltor and Andreas Georgson as assistant coaches, along with Marcattilio Marcattilii, Marcello Quinto, Cameron Campbell, Fabian Otte and Dean Brill in various fitness, development and goalkeeping roles.
The four arrivals mark another significant overhaul of Tottenham's medical and performance set-up, an area that has been a persistent problem for the club. Spurs suffered a number of serious long-term injuries last season as they narrowly avoided relegation, and sweeping changes have now been made to the department in three successive summers.
Performance director Dan Lewindon, appointed in October 2025 after a spell at the City Football Group, led an internal investigation into the club's injury record at the end of last season. The arrivals of James, Tombleson and Tibaudi represent the direct outcome of that review.
Tottenham are also overhauling the gym facilities at their Hotspur Way training base, where a new pod-based model is being introduced. Under the system, groups of four to six players work closely with a dedicated physio and sports scientist, allowing staff to build a clearer picture of individual needs and make more informed calls on fitness and rehabilitation.
Tottenham hope the combined changes to personnel and facilities will finally address the injury issues that have hampered recent campaigns, with the new medical structure now fully in place before pre-season training intensifies.