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NFL Referee Adrian Hill Suffers Non-Contact Injury During Bills-Texans Game

11/22/2025, 6:57:38 PM

Incident Overview

During the Thursday Night Football game between the Buffalo Bills and the Houston Texans on November 20, 2025, NFL referee Adrian Hill suffered a non-contact injury to his left leg. The incident occurred in the third quarter as Hill was jogging in the end zone to follow a play involving Bills quarterback Josh Allen. Hill began limping and required assistance from Texans staff members before being carted off the field, unable to put weight on his leg.

Injury Details

Reports indicate that Hill has avoided a major injury, with his Achilles tendon remaining intact. However, he is expected to miss some time, and while a return this season is possible, it has not been confirmed. Umpire Roy Ellison took over Hill's duties for the remainder of the game, which left the officiating crew without a dedicated umpire, as the NFL does not provide backup officials during the regular season.

Background on Adrian Hill

Adrian Hill has been an NFL official since 2010, initially serving as a line judge before being promoted to head referee in 2019. He has officiated in over 100 games, including NFC Wild Card assignments in 2022 and 2023. In addition to his officiating career, Hill is a flight software engineer at the Johns Hopkins Applied Physics Laboratory, where he has been recognized as Engineer of the Year by the Baltimore chapter of the American Institute of Aeronautics and Astronautics.

Official Statements & Responses

Tom Pelissero of NFL Network reported that Hill's injury was serious enough to require medical attention but not season-ending. The NFL officiating crew was prepared for such incidents, although the absence of a backup official during the regular season posed challenges for the game.

Criticism & Opposition

The incident has drawn attention to the physical demands placed on officials in the NFL, highlighting the risks they face during games. Some commentators noted the unusual nature of a referee being carted off the field, emphasizing the need for better support for officiating crews during regular-season games.

What's Next

As Hill recovers, updates on his condition will be closely monitored. The NFL will continue to assess the implications of this incident on officiating protocols and the overall safety of officials during games.

Verbatim Quotes

  • “I work a lot on the software that monitors the health of the spacecraft,” — Adrian Hill, NFL Referee and Aerospace Engineer
  • “They’re going to move the umpire to the referee position, and they are going to eliminate the umpire position,” — Terry McAulay, Prime Video Rules Analyst

This incident underscores the unpredictable nature of injuries in football, affecting not only players but officials as well.