Bills crush Dolphins after Tua Tagovailoa suffers concussion in collision with Damar Hamlin

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Damar Hamlin was on the other end of a serious injury in prime time Thursday evening.

In a terrible night for the Miami Dolphins, a crushing 31-10 loss to the Buffalo Bills included a concussion for the quarterback Your Tagovailoa in the third quarter. The hit that caused Tagovailoa's concussion came from a tackle by Bills safety Damar Hamlin, who suffered a cardiac arrest on the field in January 2023.

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Tua Tagovailoa on the field

Miami Dolphins quarterback Tua Tagovailoa (1) is assisted onto the field during the second half of an NFL football game against the Buffalo Bills, Thursday, Sept. 12, 2024, in Miami Gardens, Fla. (AP Photo/Rebecca Blackwell)

Before his injury, Tua had thrown for just 145 yards with one touchdown and three interceptions as Miami fell to a 31-10 deficit.

With Tagovailoa out, Dolphins backup Skylar Thompson came on and failed to lead a touchdown drive. His first series ended with a sack on a critical fourth down deep in Buffalo territory.

The performance of second-year running back De'Von Achane was one of the few bright spots for Miami. Achane was questionable due to an ankle issue before the game, but looked completely healthy on the field. He finished the game with 96 rushing yards, 69 receiving yards and the Dolphins' only touchdown.

DOLPHINS' TUA TAGOVAILOA CONSIDERED RETIREMENT 'FOR A WHILE' AFTER MULTIPLE CONCUSSIONS

James Cook scores a TD

Buffalo Bills running back James Cook (4) celebrates after scoring a touchdown during the first half of an NFL football game against the Miami Dolphins, Thursday, Sept. 12, 2024, in Miami Gardens, Fla. (AP Photo/Rebecca Blackwell)

On the other hand, the Bills came away with plenty of reasons to be happy.

Quarterback Josh Allen has proven he can lead an explosive offense without wide receiver Stefon Diggs, who left the team in the offseason to join the Houston Texans. Diggs was Allen's top target on the outside during Buffalo's playoff runs from 2020-23. Teammate Gabe Davis also left the team this offseason.

But now Allen has found reliable targets in Khalil Shakir and Ty Davis through the first two games of the season.

Buffalo running back James Cook was a big force on the field against Miami, rushing for 78 yards and two touchdowns while averaging 7.1 yards per carry.

The Bills have now beaten the Dolphins in 12 of their last 13 meetings. It's one of the most lopsided chapters in the history of the rivalry and it's been particularly cruel to Miami's playoff teams under head coach Mike McDaniel.

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Josh Allen looks to pass

Buffalo Bills quarterback Josh Allen (17) looks to pass the ball during the first half of an NFL football game against the Miami Dolphins, Thursday, Sept. 12, 2024, in Miami Gardens, Fla. (AP Photo/Rebecca Blackwell)

The Dolphins lost to the Bills in the first round of the 2022 playoffs after squandering the division lead. Then last season, with a chance to clinch the division in Week 18 against the Bills, Miami lost 21-14 and fell into a wild-card spot.

And for all the motivation from this recent history, the Dolphins once again failed nearly in time Thursday night, losing their quarterback in the process.

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