Late in the first half, a routine drive took a sudden turn, changing the atmosphere in the stadium. Cameras zoomed in on a familiar figure limping off the field. For a few tense moments, everything seemed to freeze as one question echoed through Buffalo: How serious is this?

The drama unfolded just before halftime against the Cleveland Browns.  Josh Allen took a heavy sack on Buffalo’s final drive of the half, falling into the end zone while stretching the ball forward to avoid a safety. As he went down, Allen immediately grabbed at his right leg. Trainers rushed in. Moments later, his right shoe came off as he walked toward the locker room.

Bills insider Alaina Getzenberg captured the concern in real time.

“Josh Allen’s right shoe is off. He is walking to the locker room with athletic trainers,” she posted on X.

The visuals told the story. Allen limped. He flexed his ankle while on the turf. With Buffalo holding a 20-10 lead, the result suddenly felt secondary. The fear centered on Allen’s right ankle.

Then came the update everyone needed.

During halftime, Allen underwent X-rays. The results were clean. The Bills cleared him to return for the second half. What looked ominous moments earlier ended with relief across the sideline and stands.

Before leaving the field, Allen had been efficient and in control. He completed six of seven passes for 86 yards and added 17 rushing yards on four carries. His mobility remained central to Buffalo’s offensive rhythm, which only heightened the concern when he limped off.

His return is significant beyond just this game. Buffalo’s offense relies heavily on Allen’s arm and agility. In a competitive AFC race, even a brief absence could have shifted the team’s momentum. Instead, the Bills dodged a major bullet.

The coaching staff will still watch closely. Allen’s physical style invites contact. But for now, the outcome is clear. The injury scare passed. The quarterback was cleared. And Buffalo breathed again as their franchise leader prepared to take the field after halftime.

With the scare behind them and Allen cleared, the focus shifted back to the game. That’s when Buffalo’s ground game took charge, and history was made.

James Cook enters Bills history

James Cook wrote his name in Buffalo’s record book in a space untouched for half a century.

Against Cleveland in Week 16, James Cook wasted no time. He exploded through the defense for a 44-yard rushing touchdown on one of his early carries. That run wasn’t just a highlight. It was a milestone. With it, Cook crossed into rare territory that had belonged to one name for decades.

By the end of the game, Cook officially moved into third place on the Bills’ all-time list for most rushing yards in a single season. His 2025 total now sits at 1,515 yards. No Buffalo running back has reached that mark since 1975.

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The only two seasons ahead of him belong to O.J. Simpson. Simpson rushed for 2,003 yards in 1973 and followed it with 1,817 yards in 1975. Those seasons have stood alone in franchise history for more than 50 years, until now.

Cook’s climb didn’t happen quietly. He has delivered week after week, carrying the offense and providing explosive balance. The consistency is what sets this season apart. Big plays didn’t come in bursts. They came regularly. The 44-yard touchdown against Cleveland was just the latest example.

The timing matters too. Buffalo took its time before committing financially to Cook this offseason. When the deal finally came together, questions lingered outside the building. Inside it, Cook has answered them one by one.

This season now ranks as the third-best rushing campaign the Bills have ever seen.  The gap between Cook and history is now measured by only two legendary years from a different era of football.

And with games still to be played, the number may not be finished climbing.

For Buffalo, the takeaway is simple. They didn’t just pay a running back. They invested in a season that now sits alongside the greatest the franchise has ever known.