The Bills lead 5-1 over the 6 games since 2019.
30 November 2025, in Week 13 of the 2025 season: the Bills won 26-7 at Acrisure Stadium.
38.2 points a game: the Bills average 25.7 and the Steelers 12.5 in their 6 meetings since 2019.
The Bills won by 35, 38-3, in Week 5 of 2022.