Roman Bednar’s injury-time winner increased the pressure on Manchester City boss Mark Hughes, whose side remain in the Premier League drop zone.
An open first half saw Bednar hit the post before Luke Moore ran on to James Morrison’s pass to put bottom side West Brom ahead after 69 minutes.
City replied when Felipe Caicedo’s deflected backheel hit the post and bounced over the line off Scott Carson.
But Bednar won it when he rose unmarked to head home Gianni Zuiverloon’s cross.
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