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Bills injuries 2026: In-game updates vs. Rams

Follow along while we bring you updates provided by teams — and the network — as players get medical attention, are ruled out, or hopefully return to play.

Should the Buffalo Bills have injuries that alter their lineup, it might be helpful to know who is available as the next man up. You can read about who is active and who is not suiting up today [here](/buffalo-bills-injuries/142024/buffalo-bills-week-4-inactives-vs-the-new-england-patriots).

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**T Spencer Brown - back** \- **QUESTIONABLE to RETURN**

With the Bills trying to get something goin on offense after having to settle for field goals on their first two drives of the game, right tackle Spencer Brown was unable to get up off the field after a first-and-fifteen play. Brown looked to be grabbing at his back before finally walking off the field and heading to the medical tent. Tylan Grable replaced Brown.

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