Bills linebacker Terrel Bernard has left for the X-ray room with 10:27 remaining in the third quarter.
Bernard was injured when he teamed up with Matt Milano to tackle Texans running back Nick Chubb for a 1-yard loss.
Bernard appeared in a lot of pain, writhing on the ground before athletic trainers arrived to check on him. He walked directly into the tunnel, and he was holding his right arm as he left.
He has five tackles, including one for loss.
The Texans still lead 20-16 after a second-half possession for each team.
Davis Mills went 1-for-8 for 10 yards in the first quarter, and the Texans trailed the Bills 6-3.
Mills is now 11-of-21 for 122 yards and two touchdowns, and the Texans lead 20-16 at halftime.
Josh Allen had a couple of scares in the first half. He stayed down after being smashed from behind by Will Anderson Jr. with 2:48 remaining in the first quarter.
Allen did not need medical attention once he got to the bench, though he did get an elbow wrap.
In the second quarter, he threw a pass intended for Elijah Moore that Azeez Al-Shaair tipped and Calen Bullock intercepted. Bullock returned it 44 yards for a touchdown, but it was negated by an illegal blindside block on Derek Barnett. The Texans got only a 43-yard Ka’imi Fairbairn field goal out of it and a 13-9 lead with 1:56 left in the first half.
Ray Davis got the lead back right back for the Bills on a 97-yard kickoff return. It was the fourth kickoff return for a touchdown in the league this season.
The Texans, though, closed out the half with a perfect two-minute offense. They went 75 yards in six plays and used up 1:38 of the final 1:43. Jayden Higgins scored on an 8-yard pass from Mills, who earlier threw a 2-yard touchdown to Christian Kirk.
Nico Collins has three catches for 55 yards and Kirk four for 46 yards and a touchdown. Woody Marks has rushed for 44 yards on eight carries.
The Texans have outgained the Bills 201 to 155.
Allen is 11-of-15 for 88 yards and an interception. James Cook has seven carries for 75 yards, including a 45-yard touchdown.
The Texans have their first lead of Thursday Night Football.
Christian Kirk caught his first touchdown of the season, catching a 2-yard pass from Davis Mills with 3:47 left in the first half.
The Texans drove 77 yards in 12 plays following Bills kicker Matt Prater’s 44-yard field goal. The Bills had a facemask and an illegal contact penalty on the drive.
Mills also threw a 24-yard pass to Nico Collins for the biggest play in the drive.
Mills is 4-of-13 for 40 yards and a touchdown.
Woody Marks has seven carries for 46 yards.
The Texans had a chance to stop the Bills on a fourth down. They couldn’t. They had a chance to stop them three plays later, and again they couldn’t.
James Cook ran for a 45-yard touchdown on third-and-1 to give Buffalo an early lead. Matt Prater missed the extra point wide left, leaving the score at 6-0.
The Bills drove 81 yards in 10 plays against the league’s top defense.
They faced a fourth-and-1 at their own 28, and Josh Allen leaped over the line for a 3-yard gain and a first down.
Allen went 4-of-6 for 29 yards, and Cook had three carries for 49 yards.
Bills wide receiver Keon Coleman will miss his second consecutive game as a healthy scratch.
Coleman is inactive for Thursday Night Football.
After Coleman sat out Sunday’s victory over the Bucs, coach Sean McDermott said Coleman was late to a meeting on Friday. It was Coleman’s second offense of the season, prompting McDermott to bench the 2024 second-round pick.
Coleman has 32 receptions for 330 yards and three touchdowns this season.
The team’s other inactives are tight end Dalton Kincaid (hamstring), wide receiver Curtis Samuel (elbow/neck), defensive tackle Phidarian Mathis (shoulder), offensive lineman Chase Lundt and cornerback Ja’Marcus Ingram.
The Texans’ inactives are quarterback C.J. Stroud (concussion), safety Jalen Pitre (concussion), offensive tackle Jarrett Kingston, linebacker Jamal Hill (hamstring), wide receiver Braxton Berrios, linebacker Damone Clark and left guard Laken Tomlinson.
Davis Mills will make his third consecutive start in place of Stroud.