Baltimore's long-awaited quarterback return lasted exactly one snap before everything fell apart.
The Buffalo Bills beat the Baltimore Ravens 36-10 on Sunday, November 1, 2026, at Highmark Stadium in Orchard Park, New York. The win pushed Buffalo to 6-1, while Baltimore dropped to 4-4 after Lamar Jackson hurt his throwing thumb on his very first pass attempt of the game.
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Ravens vs. Bills Score Turns Into a Rout After Early Injury Scare
Ravens QB Lamar Jackson injured right thumb on his first play since Oct. 4. Jackson’s right hand collided with the arm of Bills outside linebacker Greg Rousseau. Jackson had missed the last three games with a high ankle sprain. https://t.co/fO7yPC5nXf
— Jamison Hensley (@jamisonhensley) November 1, 2026
The game started close. Buffalo led just 10-7 after the first quarter and 16-7 at halftime. But the Bills pulled away in the second half, outscoring Baltimore 20-3 over the final two quarters to seal the 36-10 final score. Buffalo scored a touchdown in the third quarter and added 13 unanswered points in the fourth, according to ESPN's official game recap.
Baltimore's only points after halftime came on a third-quarter field goal. The Ravens finished with just 144 total yards for the entire game, a number that tells the real story of how badly the offense struggled once its starting quarterback left the field. Buffalo's defense, led by pass rusher Greg Rousseau, dictated the pace from the opening series onward.
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Lamar Jackson Thumb Injury Overshadows the Allen-Jackson Rivalry
This matchup was supposed to be about two former NFL MVPs facing off. Jackson was returning after missing three straight games with a left-ankle injury, and fans expected a shootout between him and Bills quarterback Josh Allen. Instead, the storyline flipped instantly. On Baltimore's very first offensive play, Jackson dropped back to throw toward receiver Zay Flowers, and Rousseau got a hand on Jackson's arm during the release. Jackson grabbed his right thumb right away, walked to the sideline, and never returned to the game.
Things got worse for Baltimore from there. Backup quarterback Tyler Huntley also left the game in the first half with a right-toe injury. That left the Ravens relying on their third-string quarterback for almost the entire afternoon, a brutal situation for any NFL team facing a 6-1 opponent on the road. The Buffalo Bills' official recap called it exactly what it was: Baltimore got hit hard by the injury bug at the worst possible time.
Josh Allen Delivers Another Big Performance for Buffalo
While Baltimore's offense fell apart, Allen kept rolling. He completed 21 of his 34 pass attempts for 289 yards, threw two touchdown passes, and added a rushing touchdown of his own. He did throw one interception, but it barely slowed Buffalo down. Reports also noted Allen set a new franchise record for career touchdown passes during the win, adding another milestone to an already strong season.
Allen entered the game playing at an MVP level, with pregame numbers showing 1,504 passing yards, nine touchdown passes, four interceptions, 240 rushing yards, and eight rushing touchdowns on the year. His performance against Baltimore only strengthened his case as a top MVP candidate heading into the back half of the season. Buffalo's official team site noted the 36-10 margin was more than double the team's largest win of the season up to that point.
What the Injuries Mean for Baltimore's Season Going Forward
The fallout from this game could stretch well beyond one Sunday. Postgame reporting indicated Jackson may need thumb surgery and could be placed on injured reserve, potentially missing at least four games with a possible return after Baltimore's Week 13 bye. That report came through secondary coverage rather than an official team statement, so it still needs confirmation, but it points to a long absence for Baltimore's franchise quarterback.
Huntley's toe injury adds another layer of uncertainty. With both of Baltimore's top two quarterbacks banged up, the team may need to turn to its third-string option for multiple weeks or look outside the roster for help. That's a tough spot for a team that has now lost three games in a row and sits at .500 with the season reaching its midpoint.
Buffalo Keeps Its Eyes on the AFC's Top Seed
For Buffalo, the win does more than extend a winning streak to three games. It keeps the Bills firmly in control of their push for the AFC's No. 1 seed, a goal that matters a lot once the playoffs arrive. Beating a divisional-caliber opponent like Baltimore by 26 points, even with the Ravens shorthanded, adds weight to Buffalo's resume.
Baltimore, meanwhile, faces a stretch where it needs to find stability without its top two quarterbacks. The Ravens will need strong play from whoever steps in next, along with better injury luck, if they hope to stop the bleeding and climb back into playoff contention before the season slips further away.