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flag NFL referee Adrian Hill injured his leg non-contact during a punt, was carted off, and replaced mid-game.

flag NFL referee Adrian Hill was carted off the field during the third quarter of the Bills–Texans game on November 21, 2025, after a non-contact leg injury while officiating a punt. flag He was replaced by umpire Roy Ellison, who took on the head referee duties, leaving the crew without an umpire for the rest of the game. flag Hill, a veteran official since 2010 and referee since 2019, has a background in engineering. flag The incident highlights the physical toll on officials and the NFL’s preparedness for such emergencies.

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