@ Steelers
10-4
@ Bills
7-10
Playoffs
2-2
VS EXPECTED
Steelers +0.0
Avg Points
21.3-19.5
Most Recent Winner
Bills 7-26
Head-To-Head Margin (Max Last 150 Matches)
| Date | Matchup | Result | Winner | Model Projection | Stage |
|---|---|---|---|---|---|
| Nov 30, 2025 | 26–7 | Buffalo Bills +19 | Buffalo Bills +2.2 | Regular | |
| Jan 15, 2024 | 17–31 | Buffalo Bills +14 | Buffalo Bills +8.2 | Playoffs | |
| Oct 9, 2022 | 3–38 | Buffalo Bills +35 | Buffalo Bills +10.8 | Regular | |
| Sep 12, 2021 | 23–16 | Pittsburgh Steelers +7 | Buffalo Bills +7.0 | Regular | |
| Dec 13, 2020 | 15–26 | Buffalo Bills +11 | Buffalo Bills +2.0 | Regular | |
| Dec 15, 2019 | 17–10 | Buffalo Bills +7 | Pittsburgh Steelers +5.5 | Regular | |
| Dec 11, 2016 | 27–20 | Pittsburgh Steelers +7 | Buffalo Bills +1.2 | Regular | |
| Nov 10, 2013 | 10–23 | Pittsburgh Steelers +13 | Pittsburgh Steelers +5.0 | Regular | |
| Nov 28, 2010 | 19–16 | Pittsburgh Steelers +3 | Pittsburgh Steelers +5.5 | Regular | |
| Sep 16, 2007 | 3–26 | Pittsburgh Steelers +23 | Pittsburgh Steelers +7.3 | Regular | |
| Jan 2, 2005 | 29–24 | Pittsburgh Steelers +5 | Pittsburgh Steelers +0.3 | Regular | |
| Sep 30, 2001 | 20–3 | Pittsburgh Steelers +17 | Buffalo Bills +2.7 | Regular | |
| Oct 10, 1999 | 21–24 | Buffalo Bills +3 | Buffalo Bills +5.0 | Regular | |
| Sep 16, 1996 | 6–24 | Pittsburgh Steelers +18 | Pittsburgh Steelers +4.4 | Regular | |
| Jan 6, 1996 | 21–40 | Pittsburgh Steelers +19 | Pittsburgh Steelers +6.6 | Playoffs | |
| Nov 14, 1994 | 10–23 | Pittsburgh Steelers +13 | Pittsburgh Steelers +2.0 | Regular | |
| Nov 15, 1993 | 0–23 | Pittsburgh Steelers +23 | Buffalo Bills +1.3 | Regular | |
| Jan 9, 1993 | 24–3 | Buffalo Bills +21 | Buffalo Bills +0.3 | Playoffs | |
| Nov 8, 1992 | 20–28 | Buffalo Bills +8 | Buffalo Bills +5.4 | Regular | |
| Sep 8, 1991 | 34–52 | Buffalo Bills +18 | Buffalo Bills +7.8 | Regular | |
| Sep 25, 1988 | 28–36 | Buffalo Bills +8 | Buffalo Bills +2.7 | Regular | |
| Nov 9, 1986 | 12–16 | Buffalo Bills +4 | Pittsburgh Steelers +2.5 | Regular | |
| Dec 15, 1985 | 24–30 | Pittsburgh Steelers +6 | Pittsburgh Steelers +11.2 | Regular | |
| Dec 12, 1982 | 0–13 | Buffalo Bills +13 | Pittsburgh Steelers +0.3 | Regular | |
| Nov 23, 1980 | 13–28 | Buffalo Bills +15 | Pittsburgh Steelers +2.3 | Regular | |
| Dec 16, 1979 | 0–28 | Pittsburgh Steelers +28 | Pittsburgh Steelers +13.6 | Regular | |
| Sep 3, 1978 | 28–17 | Pittsburgh Steelers +11 | Pittsburgh Steelers +6.5 | Regular | |
| Sep 28, 1975 | 30–21 | Buffalo Bills +9 | Pittsburgh Steelers +8.9 | Regular | |
| Dec 22, 1974 | 14–32 | Pittsburgh Steelers +18 | Pittsburgh Steelers +8.3 | Playoffs | |
| Oct 29, 1972 | 38–21 | Pittsburgh Steelers +17 | Pittsburgh Steelers +2.6 | Regular | |
| Oct 11, 1970 | 10–23 | Pittsburgh Steelers +13 | Pittsburgh Steelers +2.7 | Regular |