Damar Hamlin was on the other side of a serious injury on Thursday evening in primetime.

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

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Miami Dolphins quarterback Tua Tagovailoa (1) receives an assist on the field during the second half of an NFL football game against the Buffalo Bills, Thursday, Sept. 12, 2024, in Miami Gardens, Florida. (AP photo/Rebecca Blackwell)

Tua had thrown for just 145 yards with one touchdown and three interceptions before the injury, putting Miami behind 31-10.

With Tagovailoa out, Dolphins backup Skylar Thompson came in and failed to lead a touchdown drive, his first series resulting in a sack on a crucial fourth down deep in Buffalo territory.

The performance of sophomore running back De’Von Achane was one of the few bright spots for Miami. Achane was questionable with an ankle injury early in the game, but looked completely healthy on the field. He finished the game with 96 rushing yards, 69 receiving yards and the Dolphins’ lone touchdown.

DOLPHINS’ TUA TAGOVAILOA CONSIDERED RETIREMENT ‘FOR A WHILE’ AFTER HIS MULTIPLE CONCUSSION

Running back James Cook (4) of the Buffalo Bills celebrates his touchdown during the first half of an NFL football game against the Miami Dolphins, Thursday, Sept. 12, 2024, in Miami Gardens, Florida. (AP photo/Rebecca Blackwell)

The Bills, on the other hand, had a lot to be happy about.

Quarterback Josh Allen has proven he can lead an explosive offense without wide receiver Stefon Diggs, who left in the offseason to join the Houston Texans. Diggs was Allen’s primary target on the outside for Buffalo’s run of playoff seasons from 2020-23. Fellow wideout 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 huge force on the ground against Miami, rushing for 78 yards and scoring two touchdowns, averaging 7.1 yards per attempt.

The Bills have now defeated the Dolphins in 12 of their last 13 meetings. It’s one of the most lopsided chapters in the rivalry’s history and has been particularly brutal for Miami’s playoff teams under head coach Mike McDaniel.

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

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

And despite all the motivation of that recent history, the Dolphins came out of Thursday night virtually scoreless again, losing their quarterback in the process.

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