Bills vs. Dolphins final score, results: Tua Tagovailoa concussion overshadows James Cook, Buffalo's mastery of Miami

Buffalo continued to establish itself as a perennial powerhouse in the AFC East, beating Miami 31-10 at Hard Rock Stadium behind a dominant performance by Josh Allen.

The quarterback is now a perfect 7-0 in Thursday matchups and is 7-1 against Tua Tagovailoa's Dolphins since the two began competing . Overall, the Bills are 11-1 in their last 12 matchups against their rivals by an average margin of 14.5 points per game.

Miami tied Buffalo at a score apiece in the first quarter, but the Bills only allowed a field goal the rest of the night. Allen completed 13-of-19 passes for 139 yards and one passing touchdown to James Cook. That was just one of the running back's three scores on the night, all of which came in the first half. Cook had a career performance, running for 78 yards on 11 carries and two touchdowns in addition to his one in the air.

The Dolphins struggled tremendously with three picks thrown by Tagovailoa and failed to score the entire second half. They came close with a red-zone effort late in the third quarter, but the quarterback sustained his third official concussion in the past three seasons at the end of the drive from a hit by Damar Hamlin. He was ruled out shortly after walking off the field under his own power.

Despite an extended break before the team's next game, Tagovailoa's history of head injuries isn't a good sign for the quarterback. Either way, he will have to miss at least one contest before his earliest potential return date.

Backup Skylar Thompson replaced Tagovailoa for the remainder of the game but couldn't put the Dolphins back on the board. One of the team's only bright spots of the night was running back De'Von Achane, who was initially "questionable" for the game with an ankle injury. He picked up 22 carries for 96 yards as well as 69 yards on seven receptions for Miami's lone touchdown.

Even with Tagovailoa on the field, it was still a tough night for the Dolphins. Buffalo continues its dominance in the AFC East with the teams' next meeting on Nov. 3. The Sporting News had you covered with everything you need to know about Bills vs. Dolphins on NFL "Thursday Night Football," including live scores, updates, and highlights.

MORE: Updates on Tagovailoa's head injury | Miami's QB depth chart | NFL concussion protocol

Bills vs. Dolphins score

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Bills vs. Dolphins live results, highlights from Thursday Night Football

(All times Eastern)

End of regulation: Bills 34, Dolphins 10

11:12 p.m. — Davis gets the first handoff after the break and runs for a 9-yard gain. Then, Trubisky kneels to run down the clock and this AFC East battle comes to a close with Buffalo on top for the seventh time in eight meetings between Allen and Tagovailoa.

11:10 p.m. — As far as remaining injury updates, Armstead has officially been ruled out with an shoulder injury. In a new development, Wilson injured his oblique and is out as well.

11:08 p.m. — Buffalo has also elected to bench its starters as the game comes to an end, sending Mitch Trubisky on. He hands it off the Davis for a 1-yard gain before the two minute warning.

11:07 p.m. — Thompson misses Chosen to drop it to 4th & 2, and the backup tries Chosen again in the end zone, but the pass is broken up well by Bishop. Yet again Miami turns it over on downs with just over two minutes to go.

11:05 p.m. — Thompson tries to hit Hill in the end zone but the pass goes off the receivers fingertips for an incompletion. The quarterback makes up for it the next play with a pass to Smythe for eight yards to the Buffalo 11 on 3rd & 2.

11:04 p.m. — Wright takes the first handoff after the break and is mauled for a loss of one by Toohill. Thompson then fires one up the middle to DuBose for 13 yards and a 1st down at Buffalo's 19.

11 p.m. — McDermott takes Buffalo's final timeout with 4:20 remaining in the game. This one is all but over for the Dolphins, with Hill and Waddle officially done for the night.

10:58 p.m. — One of the few bright spots for Miami tonight, Achane makes a 16-yard reception for the first down and then runs it for six more. Thompson then hits the running back again with a deep throw under pressure for another 16-yard gain to the Buffalo 31.

10:57 p.m. — Jackson false starts for Miami on the first play of the drive, then Thompson fires it short to Chosen for five yards. That gain is effectively negated, though, when Wright is pushed out of bounds at the Miami 31 to set up 3rd & Long.

10:55 p.m. — Yet another disappointing development for the Dolphins, LT Terron Armstead has entered the locker room with a shoulder injury and is questionable, though its likely he won't return as Miami has begun to put in its backups.

10:52 p.m. — Allen targets rookie Coleman for the first time tonight, but the receiver has to swat it away from Fuller to avoid an interception. Now 4th & 11, McDermott calls on Bass for a 45-yard try. The kicker can't put it through the uprights, however, and misses his first field goal of the season to keep the lead at 21.

10:50 p.m. — Allen gives it to Davis again but he is taken down for a loss of three by Sieler. McDermott then takes his second timeout of the half at 3rd & 11 with 8:08 to go.

10:48 p.m. — Davis takes another handoff for no gain but Allen saves the drive on 3rd & 7 with a 12-yard pass to Shakir, taking Buffalo to the Miami 26. Davis gets it again the next play for a gain of two.

10:46 p.m. — Allen hands it off to Davis who pushes forward for a gain of three before Buffalo takes its first timeout of the half.

10:42 p.m. — Again Thompson targets Smith but he can't pull it in, then on 4th & 4 Eichenberg is called for a false start, sending Miami back five more yards. McDaniel elects to go for it yet again, but Thompson fails to get the first with a 4-yard scramble. Buffalo gets it back at its own 41 with just under 12 minutes in the game.

10:41 p.m. — Thompson tries to hit DuBose upfield but puts it too far in front of the receiver. Then, on 2nd & 10, the quarterback passed it short left to Smith for six to their own 42.

10:40 p.m. — Thompson completes a short pass to Achane for a yard before hitting the running back again up the middle who runs it for a 15-yard gain and a first down.

10:38 p.m. — Cook takes the first handoff of the quarter for no gain and Buffalo hits 4th & 2 at their own 35. Martin enters to punt and boots it into the end zone for a touchback. Thompson and Miami will receive it on their own 30.

10:37 p.m. — Of note, Miller is working his way up the all-time sack list after he took down Thompson on the last drive.

End of third quarter: Bills 31, Dolphins 10

10:32 p.m. — Cook takes three straight handoffs from Allen for a combined 13 yards and a first down. Allen then passes it short to Kincaid who runs for seven to set up 3rd & 2 as the quarter winds down. Buffalo maintains a double digit lead over Miami, who is now without their starting quarterback.

10:30 p.m. — Unfortunately but unsurprisingly, the Dolphins have rule Tagovailoa out with a concussion for the rest of the game.

10:28 p.m. — The Dolphins go for it, but Thompson is folded by Miller almost immediately for a seven yard loss and turnover on downs. Buffalo will receive the ball on their own 15 with 2:40 to work with.

10:27 p.m. — On 3rd & Goal at the Buffalo eight, Thompson tries to throw it to Berrios but the receiver is unable to pull it in. McDaniel calls the Dolphins' second timeout just before the snap with 2:43 remaining in the quarter.

10:25 p.m. — Thompson enters the game for Tagovailoa and hands it to Achane, who takes it up the middle for no gain. He takes the next handoff as well but is downed by Hamlin and Williams for a loss of one.

10:21 p.m. — The Dolphins elect to go for it and Tagovailoa scrambles up the middle for seven yards and the first down. However, the quarterback took a very hard shot to the head on the tackle by Hamlin and was immediately attended to by trainers after he was unable to get off the ground.

This is bad news for Tagovailoa who has already suffered several concussions in his NFL career. He is able to walk off the field under his own power but is also walking with a slight limp. Skylar Thompson is Tagovailoa's backup, who nearly beat the Bills in a 2022 playoff game.

10:20 p.m. — Smith makes a 7-yard reception to the 12, then Achane takes a handoff but is downed by Oliver for a loss of one to set up 4th & 4.

10:17 p.m. — Miami finally reaches the red zone thanks to an 8-yard run from Wright and a 16-yard push from Achane. With a fresh set of downs on the Bills 19, Tagovailoa nearly hits Hill in the end zone but the pass comes off the tip of his fingers.

10:15 p.m. — Tagovailoa saves the drive on 3rd & 2 with a pass up the middle to Waddle for a 21-yard gain to the Buffalo 43. The quarterback then throws a deep pass to Hill who attempts to keep both feet in on the sideline, but ultimately he was out of bounds.

10:12 p.m. — Miami gets the ball at their own 30 after another touchback by Bass. Tagovailoa passes to Hill for an 8-yard reception, then rookie Wright takes a handoff but is tackled by Rapp and Williams for a loss of two.

Bills 31, Dolphins 10

10:10 p.m. — BILLS PICK 6! Tagovailoa attempts to throw the ball away under pressure from Epenesa, and Ingram plucks it out of the air for his second pick of the game—Tagovailoa's third. He races untouched up the sideline for the score and Bass nails the extra point, putting the Bills up 21 with 9:27 remaining in the quarter.

10:08 p.m. — Achane receives yet another handoff but only gains one, and Miami is now at 3rd & 5 on its own 30 with 10:22 remaining in the quarter.

10:05 p.m. — Some injury news for Miami as well: LG Robert Jones is questionable with a shoulder injury and has been replaced by Liam Eichenberg for the time being. Achane receives the first handoff from Tagovailoa and runs it for two before the running back makes a 12-yard reception for a 1st down. He makes yet another run after that for four more.

10:02 p.m. — Miami earns an important stop as Allen throws an incompletion, forcing the Bills to punt. Martin boots it 39 yards to the Miami 11 where Berrios makes the fair catch. In injury news, Buffalo's Bernard has now been ruled out for the remainder of today's contest.

10 p.m. — Allen passes it short to Samuel for three yards to the 50, then Cook takes the handoff for no gain as he slips and is taken down by Brooks. With Buffalo at 3rd & 7, Miami uses a valuable timeout, their first of the half.

9:58 p.m. — Buffalo starts off on their own 33 and Allen begins with a short pass to Kincaid for a 9-yard gain. Cook receives the next handoff for a five yard run and a first down.

9:57 p.m. — Miami has 30 minutes of play to turn things around. The team was able to shut out the Jaguars in the second half of last week's game to overcome a deficit, but Trevor Lawrence is also not Josh Allen. Sanders boots a 62-yard kickoff to start the half and Davis catches it for a 25 yard return.

Halftime: Bills 24, Dolphins 10

9:42 p.m. — Allen takes a knee as time winds down to halftime, and Buffalo heads to the locker room up 14 on division rival Miami. The Bills QB has 108 yards on nine completions so far, but Cook has been the team's star so far with 60 yards and two touchdowns on five carries as well as one receiving score.

Bills 24, Dolphins 10

9:41 p.m. — With eight seconds remaining in the half, McDaniel calls on the field goal team. Sanders hits a 34-yard try and the Dolphins are finally in double digits. Sanders kicks it off for a touchback and Buffalo has four seconds to work with before half.

9:39 p.m. — Buffalo takes another timeout with 12 seconds to go after Tagovailoa completes a 7-yard pass to Smith for 2nd & 3 at the Buffalo 16. After the break, Tagovailoa tries Smith again but he can't bring it in.

9:37 p.m. — Hill makes a 6-yard reception up the middle for a first down but is tackled inbounds, so McDaniel takes his final timeout of the half with 16 seconds remaining. McDermott follows that up with a Bills timeout as well.

9:35 p.m. — Tagovailoa takes off and runs for 11 yards and the 1st down to Buffalo's 35. He scrambles again but runs out of bounds for no gain before passing it short to Wilson for a six yard gain. McDaniel takes his second timeout at 3rd & 4 on the Bills 29 with 21 seconds left.

9:33 p.m. — Achane takes another handoff and is pummeled by Rousseau for a loss of five, setting up 3rd & 11 with 33 seconds to go. Miami then takes its first timeout of the half.

9:31 p.m. — Achane makes it 3rd & 2 with a five yard run to the Bills 49, then Smith makes a four yard reception for the a fresh set of downs. Tagovailoa then passes it short to Achane who runs out of bounds at the Buffalo 45.

9:29 p.m. — Cook has tied a Bills record with three touchdowns in a first half, a feat that has only been achieved six times in team history.

9:27 p.m. — Bass' kick goes for a touchback and Tagovailoa's first pass goes to Waddle who is downed at the line of scrimmage for no gain. Achane takes the next handoff and runs 13 yards for a first down, following that up with a 3-yard run before the two minute warning.

Bills 24, Dolphins 7

9:24 p.m. — TOUCHDOWN BILLS! Cook snags his third score of the night, and it's his best so far—a 49-yard run straight up the middle before streaking to the outside and running into the end zone. Bass kicks the extra point and Buffalo has now extended its lead to 17 with 3:36 to go until half.

9:18 p.m. — Achane combines for nine yards on the next two handoffs before Ingold is downed at the Buffalo 45 for a loss of one. The Dolphins face 4th & 2 and elect to go for it, but Tagovailoa is engulfed by Oliver for a six yard loss and a turnover at the Miami 48 with 3:45 in the half to go.

9:16 p.m. — Bass boots it into the end zone for the fifth touchback of the night and Miami will start with it on their own 30. Achane takes the first handoff for 17 yards and first down.

Bills 17, Dolphins 7

9:13 p.m. — TOUCHDOWN BUFFALO! Cook punches in a 1-yard score on the 85-yard drive, and Bass hits the extra point, putting the Bills up double digits with 6:25 remaining in the half.

9:12 p.m. — Shakir makes a 4-yard catch then Allen targets Johnson inside the five on 3rd & long, where he makes the catch to set up 1st & goal at the one.

9:10 p.m. — Davis takes two more handoffs and runs for a combined 18 yards to the Miami 32 before he's tackled for a loss of one on his next take. Brown is called for a false start on the next snap and Buffalo moves back five yards for 2nd & 16 at Miami's 38.

9:08 p.m. — Allen kicks the drive off with a short pass to rookie Davis for a loss of one. Then, he slots a long pass up the middle between several defenders to Shakir for a 21-yard gain. Poyer is called for unnecessary roughness for a helmet-to-helmet hit on Shakir during the play, and the Bills move all the way up to the 50 with a fresh set of downs.

9:03 p.m. — Smith catches a short pass from Tagovailoa and gains significant ground for 14 yards. The quarterback then throws an incompletion to a diving Hill, and suddenly it's 4th down. Bailey comes on to punt and it's fair caught by Codrington at the Buffalo 15.

9:01 p.m. — Bass' kick goes for a touchback and the Dolphins receive the ball at their own 30. Rookie Wright enters the game for Miami and makes a 4-yard reception before running for nine yards and a first down. However, Armstead is called for a holding and Miami is pushed back to their own 23 at 2nd & 17.

9 p.m. — As far as injury updates go, Bernard's status is questionable as he's dealing with a pectoral injury.

Bills 10, Dolphins 7

8:57 p.m. — Sean McDermott sends out the field goal team and Bass nails the 43-yard kick to seal a 3-point lead with 12:41 in the half.

8:56 p.m. — Cook runs it left for a 3-yard gain, saving the play after slipping in the backfield. Then, Allen takes a shot to Samuel in the left corner of the end zone but he is well covered by Brooks. Allen then misses another pass short to Johnson to set up 4th & 7 at the Miami 25.

8:54 p.m. — Allen fakes a throw and scrambles for three yards to start the quarter before firing one up the middle to Shakir for 11 and a first down at Miami's 28.

End of first quarter: Bills 7, Dolphins 7

8:50 p.m. — Shakir takes a handoff from Allen for two yards before the clock winds down to end the first quarter. Allen is 4-for-6 passing so far for 40 yards while Tagovailoa has missed three of nine passes, two of which have been intercepted. Nevertheless, the score is tied at seven.

8:48 p.m. — Achane takes Tagovailoa's first handoff of the drive for one yard before Hill makes a 12-yard run off a shovel pass from the quarterback for a first down. Then, Tagovailoa overthrows Chosen around the 45-yard line and is intercepted by Benford who is pushed out of bounds at the Miami 44.

8:45 p.m. — On 4th down at their own 39, Buffalo elects to punt and Berrios receives it at Miami's 17. Notably, Bills linebacker Terrel Bernard has entered the locker room with an apparent injury, weakening an already thin Buffalo defense.

8:42 p.m. — Sanders kicks it off for a touchback and the Bills get it at their own 30. Cook takes a handoff for three yards then Shakir makes a six yard reception. Allen then drops the ball briefly on 3rd & 1 but recovers it quickly, before a 2-yard loss on an incompletion.

Bills 7, Dolphins 7

8:39 p.m. — TOUCHDOWN DOLPHINS! Achane gains a yard on his first carry then catches a short pass from Tagovailoa at the right sideline and runs it into the end zone. He now has 13 touchdowns in 13 games, and Sanders nails the extra point to tie it up at seven with 3:21 to go in the quarter.

8:36 p.m. — Tagovailoa rockets a pass to Waddle up the middle, and the receiver is tackled at the one for 1st & goal. The next play, Miami loses the ball on a fumble but the play is called dead thanks to a false start on the Dolphins' Eichenberg. Miami is pushed back to the six.

8:34 p.m. — Achane erases the penalty for Miami and earns a fresh set of downs after two runs for 22 yards total, setting up 1st & 10 on the Bills 24. The running back is stopped on the next carry for no gain by Epenesa, then Tagovailoa completes a 6-yard pass to Wilson to get into the red zone.

8:32 p.m. — Miami makes its way into Bills territory with a 10-yard pass to Tyreek Hill, who is pushed out of bounds at the Buffalo 41 for a 1st down. Then, Julian Hill is called for a false start, sending his team back five.

8:30 p.m. — Bass kicks another touchback and the Dolphins start at their own 30 again. Tagovailoa's first pass goes to Smith who muscles his way to the Miami 45. Waddle receives the next handoff and goes for four yards.

Bills 7, Dolphins 0

8:26 p.m. — TOUCHDOWN BILLS! Allen floats it left to a wide open Cook, who rushes for 17 yards up the sideline for a score. Bass nails the extra point and Buffalo leads with 9:49 to go in the first, thanks to a gutsy play call by OC Joe Brady.

8:25 p.m. — Allen's throw on 2nd & 2 is incomplete, then Johnson runs up the middle but is slammed by Long and Sieler for a loss of one. Allen then calls the Bills' first timeout on 4th & 3 at Miami's 17 after setting up to go for it. There's just under 10 minutes remaining in the quarter.

8:23 p.m. — Buffalo quickly gets a 1st down thanks to a 9-yard catch by Kincaid and a 4-yard run by Cook. Allen then completes another pass to Kincaid who is downed by Poyer at the 16-yard line.

8:22 p.m. — Tagovailoa attempts to hit Tyreek Hill way downfield but overthrows him to set up 3rd & 13. Then, the quarterback's next pass intended for DuBose bounces off the receiver's hands and lands with Buffalo's Ingram, who returns it to the Miami 37 for 23 yards and his first career pick.

8:19 p.m. — Miami gets its first fresh set of downs thanks to a short catch from Waddle and two brief runs from Achane and Oliver. On 1st & 10 at their own 42, Achane is then tackled for a 3-yard loss by Douglas.

8:16 p.m. — Berrios and Wilson set up deep to receive the kickoff, which Bass boots into the end zone for a touchback. Miami will get the ball at their own 30.

8:15 p.m. — Poyer is serving as one of Miami's captains tonight for the coin toss, which the Bills win. They defer, and the Dolphins will get the opening kick.

Pregame

8:10 p.m. — Both teams are back on the field with five minutes to go before the clock starts.

8 p.m. — There are just 15 minutes remaining until kickoff between the AFC East rivals. Tune in on Amazon Prime or NFL+ to watch the action.

7:55 p.m. — Also notable, tonight is Dolphins Jordan Poyer's first game against his former team. The safety played for Buffalo from 2017 to 2023, finishing last season with the second-most total tackles on the team at 101.

7:50 p.m. — During the pregame show on Amazon Prime, Tyreek Hill spoke with Taylor Rooks about his detainment with police on Sunday . Take a look at the interview below:

7:45 p.m. — It's also worth noting Achane has been "very restrictive of his movements during warm up," according to Miami Herald writer Omar Kelly . While he's slated to play, limited usage of the running back could weaken Miami's ground game without Mostert on the field.

7:40 p.m. — Keep an eye on Allen's left hand throughout the game. The quarterback injured his non-throwing hand diving into the end zone on one of his two rushing touchdowns last week. Thankfully, it wasn't serious enough to keep him out of practice, but he has made some adjustments ahead of tonight.

7:30 p.m. — Tonight's most wholesome piece of news is the reunion of brothers Blake and Reid Ferguson, long snappers for the Dolphins and Bills respectively. Blake Ferguson was a member of Joe Burrow's 2019 LSU National Championship team before he was drafted by Miami in the 6th round of the 2020 draft. The older of the two, Reid Ferguson also played at LSU until he was signed by Buffalo as a UDFA before the 2017 season.

7:10 p.m. — BetMGM has Miami as 2.5-point favorites over Buffalo, with the over/under set at 49 points. The Bills have won 11 of the teams' last 12 matchups dating back to December 2018 before Allen and Tagovailoa faced off for the first time. The Miami QB has only beaten Buffalo once, with six of his 19 total NFL losses coming at the hands of Allen.

7 p.m. — Inactives have been released for both teams ahead of kickoff. Bills starting CB Taron Johnson will sit out his first contest after injuring his forearm early in last week's game. Additionally, DEs Joe Andreessen and Dawuane Smoot are sidelined with respective oblique and toe injuries.

For the Dolphins, starting running back Raheem Mostert was ruled out of tonight's game with a chest issue—however, fellow back De'Von Achane is not on the injury report after dealing with an ankle injury, which is a positive sign for Miami.

6:45 p.m. — Both teams have arrived at Hard Rock stadium ahead of today's divisional matchup between the Dolphins and Bills. It's worth noting Buffalo QB Allen is an undefeated 6-0 in Thursday night games, none of which have been against Miami. The forecast for tonight's game in Florida is 80 degrees with a 24% chance of rain and 82% humidity.

Bills vs. Dolphins start time

• Date: Thursday, Sept. 12
• Time: 8:15 p.m. ET

Thursday's game between the Bills and Dolphins is set to kick off at 8:15 p.m. ET from Hard Rock Stadium in Miami, Florida.

MORE: NFL Week 2 schedule | NFL Week 2 Power Rankings | NFL Week 2 picks | NFL Week 2 picks against the spread

What channel is Bills vs. Dolphins on today?

• TV channel: N/A
• Live stream: Amazon Prime | NFL+ | DAZN NFL (Canada)

The Bills vs. Dolphins Week 2 matchup will not be broadcast on television outside of Buffalo, with the only national viewing options accessible through streaming on Amazon Prime and NFL+.

Canadian viewers can livestream the game on DAZN NFL .