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Injuries have plagued NFL teams throughout the 2025 season, and on Thursday night the problem hit NFL officials during the Buffalo Bills and Houston Texans game.
Referee Adrian Hill went limp during a play on a Texans drive in the third quarter. He was spotted in the end zone watching a play unfold. As he started to move, Hill grabbed his left leg.
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Umpire Adrian Hill on the field during a game between the Chicago Bears and the New York Giants at Soldier Field on November 9, 2025 in Nashville, Tennessee. (Wesley Hitt/Getty Images)
Hill was helped off the field and had to be taken to the locker room. Referee Roy Ellison took over as head referee for the remainder of the match.
Hill has been an NFL official since 2010, making his debut on September 12, 2010 in a game between the Washington Redskins and the Dallas Cowboys as a line judge. He was promoted to judge in 2019 after Pete Morelli and Walt Coleman retired.
A longtime official himself, Ellison has had some controversy attached to his career in the NFL.
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Buffalo Bills linebacker Terrel Bernard (8) is attended to by medical personnel after suffering an undisclosed injury in the second half of an NFL football game against the Houston Texans, Thursday, Nov. 20, 2025, in Houston. (AP Photo/Ashley Landis)
In 2018, he had a run-in with Bills defensive lineman Jerry Hughes. The NFL player confronted Ellison in the tunnel after a game between the Bills and the Miami Dolphins. Hughes accused Ellison of calling him an expletive. Ellison was reportedly fined one game check for the incident.
Both teams also dealt with injuries during the game.
Bills quarterback Josh Allen had to check out after being hit hard on a play. Bills wide receiver Khalil Shakir, defensive back Maxwell Hairston and offensive lineman Dion Dawkins were each evaluated for a concussion. Bills linebacker Terrel Bernard suffered an elbow injury and was out for the rest of the game.
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The Texans played without quarterback CJ Stroud and safety Jalen Pitre, who were both injured.
