Referee Carted Off Field After Non-Contact Injury During Bills-Texans

Veteran NFL official Adrian Hill suffered an injury in the third quarter.

Referee Adrian Hill had to be helped off the field after suffering a non-contact injury. | Awful Announcing/Screengrab

A referee was carted off the field after suffering a non-contact injury during Thursday night’s Bills–Texans game in Houston.

Adrian Hill was officiating in the backfield behind the Bills’ offense on a drive in the second half when he appeared to injure himself while running. He lifted his leg up and started hopping while the play stopped.

Texans medical staff members came onto the field to help walk Hill off until the cart arrived for him. Hill was taken into the locker room for further evaluation.

Referee Adrian Hill in the #Bills-#Texans game suffered a non-contact injury and had to be carted off. pic.twitter.com/6zTHla9eN2

— Ari Meirov (@MySportsUpdate) November 21, 2025

Umpire Roy Ellison replaced Hill as the backfield referee for the remainder of the contest. The umpire position on Thursday night will be eliminated. Ellison will have to work the offensive line by himself and any roughing the passer situations, as Amazon Prime’s Terry McAulay shared on the broadcast.

Officiating crews prepare for possible injury moments like this to happen before the season begins.

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