It's the same 4-4-2 defensive shape in every single match. The difference is Ramsey and McKennie are able to get in the opponent's box and still recover and come back into the 4-4-2 shape.
They just run more. Ramsey's top form is simply unapproachable by the others. He is defending in the 4-4-2, but he can also play the ball in tight spaces, and he also can get into the box when our forwards vacate it.
And then you have McKennie who plays comfortably without the ball and offers himself in the box all match as well.
But Paratici will make a fucking Pikachu face if he finds out that CMs that run all game and can play every inch of the park make your team better. Buy more #6's