They're in a bad way. Pepe won't be able to play against the US and one of their other starters went down with an injury. Ronaldo didn't even look interested.
Ronaldo wasn't interested, the game was over even before the red card. That won't be the case against the US. And they still have better quality than we do, regardless. It's not going to be an easy game, and it's not a game the US should be outright expected to win.