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Patriots vs Bills Prediction, Picks & Odds

New England Patriots vs Buffalo Bills prediction, picks and odds for Week 4 of the 2026 NFL season

Our Patriots vs Bills prediction sends the league’s least productive passing offense to the only 3-0 team in the AFC East. Squawka Signal’s live read on this game, including where the value sits, updates on this page through the week.

The New England Patriots have thrown one touchdown and six interceptions in three games, a 60.8 passer rating. The Buffalo Bills have scored 13 touchdowns and run for 465 yards at 5.2 a carry. Highmark Stadium is a difficult place to arrive in this condition.

Week 4 · Editorial pick

Patriots vs Bills: our editor’s props

Two editorial calls to sit alongside the live Signal numbers on this page.

Patriots AT Bills

Our props

SpreadBuffalo to win by 7 or moreBuffalo have 13 touchdowns to New England’s three and convert 54.5% on third down against the Patriots’ 32.5%. New England have reached the red zone six times and scored once.
★★★★☆4/5 confidence
Player propJames Cook III 90+ rushing yardsCook ran 24 times for 154 against the Chargers. New England have allowed 325 rushing yards at 4.3 a carry, and Buffalo lean on the ground game when they lead.
★★★☆☆3/5 confidence

An editorial call, not a Signal model output. 21+. Gambling Problem? Call 1-800-GAMBLER.

Patriots vs Bills: 2026 form so far

A 3-0 team against a side whose quarterback has thrown five more interceptions than touchdown passes. The table puts each attack against what the opposite defense allows.

Patriots attack against the Bills defense

Per gamePatriots offenseBills allow
Passing yards197.7254.3
Rushing yards109.3107.0
Yards per carry3.94.0
Passer rating60.8105.4
Touchdowns1.03.0
Third-down conversion32.5%40.5%
Red-zone conversion16.7%61.5%
Sacks conceded / recorded3.03.0

Bills attack against the Patriots defense

Per gameBills offensePatriots allow
Passing yards246.7170.0
Rushing yards155.0108.3
Yards per carry5.24.3
Passer rating104.185.8
Touchdowns4.32.0
Third-down conversion54.5%34.3%
Red-zone conversion75.0%62.5%
Sacks conceded / recorded2.72.3

Read these as a 3-game sample rather than settled form. Rates this early move a long way on one result.

New England’s 16.7% red-zone conversion is the worst figure on either side of this card. Buffalo convert 75%, which is the gap in a single comparison.

Patriots vs Bills quarterback matchup

Both quarterbacks had a poor Week 3. Only one of them plays for a 3-0 team, and only one of them has thrown six interceptions.

TeamQuarterbackLast gameSeason to date
PatriotsDrake Maye14/25, 199 yds, 0 TD, 2 INT, 48.6 rtg51/80, 585 yds, 1 TD, 6 INT, 58.6 rtg (3 games)
Tommy DeVito3/5, 30 yds, 0 TD, 0 INT, 77.1 rtg3/5, 30 yds, 0 TD, 0 INT, 77.1 rtg (1 game)
BillsJosh Allen16/26, 204 yds, 0 TD, 2 INT, 54.0 rtg56/86, 786 yds, 5 TD, 2 INT, 104.1 rtg (3 games)
Last game is Week 3. Season figures are 2026 to date, with games played in brackets.

Patriots vs Bills injury report and team news

Drake Maye threw two interceptions at Jacksonville and was replaced for five snaps by Tommy DeVito, the first time New England have split the throws this season.

A.J. Brown is on injured reserve for New England, so the Patriots are without the receiver who made 1,003 yards for Philadelphia last season.

Harold Landry III remains on the physically unable to perform list for New England after recording eight sacks last season.

Where Patriots vs Bills is decided

Drake Maye has thrown one touchdown and six interceptions in three games at a 58.6 rating. Last season he threw 31 touchdowns to eight interceptions at 113.5. That is not a slow start so much as a collapse, and New England have no obvious way around it.

Buffalo are not flawless. Josh Allen threw two interceptions against the Chargers and managed a 54.0 rating, and the Bills turned the ball over five times in that game and still won by eight. They also ran for 176 yards.

Consequently the route to a New England cover is Buffalo’s carelessness rather than any Patriots strength. Allen has six rushing touchdowns already, so even a poor passing day tends to end with points.

Players to watch

  • Drake Maye (NE, QB): 199 yards and two interceptions at Jacksonville, a 48.6 rating.
  • Mack Hollins (NE, WR): Six catches for 87 yards in Week 3, New England’s leading receiver.
  • Josh Allen (BUF, QB): Two rushing touchdowns against the Chargers despite a 54.0 passer rating.
  • James Cook III (BUF, RB): 154 rushing yards at 6.4 a carry in Week 3.

How to watch Patriots vs Bills

Kickoff is 1:00 PM ET on Sunday, October 4 at Highmark Stadium, which is 12:00 PM CT and 10:00 AM PT. CBS has the regional broadcast.

DetailPatriots vs Bills
DateSunday, October 4, 2026
Kickoff1:00 PM ET / 12:00 PM CT / 10:00 AM PT
VenueHighmark Stadium, Orchard Park, NY
TVCBS
Live streamNFL+ / Paramount+
WeekWeek 4, 2026 NFL season

Patriots vs Bills prediction and score projection

Our Patriots vs Bills prediction is a Buffalo win, 30-16. The Bills have been sloppy and are still 3-0, and New England have scored three touchdowns in three weeks.

The live win probability and the model’s projected margin update on this page through the week.

Every Week 4 game, previewed

Kickoff (ET)GameOur predictionPreview
Thu 8:15 PMSteelers @ BrownsBrowns 20-17Read
Sun 9:30 AMColts @ CommandersCommanders 27-24Read
Sun 1:00 PMCardinals @ GiantsCardinals 24-20Read
Sun 1:00 PMCowboys @ TexansCowboys 27-24Read
Sun 1:00 PMPackers @ BuccaneersPackers 23-20Read
Sun 1:00 PMJaguars @ BengalsJaguars 24-20Read
Sun 1:00 PMRams @ EaglesRams 24-20Read
Sun 1:00 PMPatriots @ BillsBills 30-16You are here
Sun 1:00 PMJets @ BearsBears 27-24Read
Sun 1:00 PMTitans @ RavensRavens 27-13Read
Sun 4:05 PMDolphins @ VikingsVikings 24-13Read
Sun 4:25 PMBroncos @ 49ers49ers 31-17Read
Sun 4:25 PMChiefs @ RaidersChiefs 27-24Read
Sun 4:25 PMChargers @ SeahawksSeahawks 27-17Read
Sun 8:20 PMLions @ PanthersLions 31-24Read
Mon 8:15 PMFalcons @ SaintsSaints 26-23Read

Every fixture in the round is covered across our NFL hub, and Signal rates every game on the NFL picks page.

Patriots vs Bills FAQ

Who is favored to win, the Patriots or the Bills?

Buffalo, comfortably, at home. The Bills are 3-0 with 13 touchdowns; New England are 1-2 with three.

What time is Patriots vs Bills?

1:00 PM ET on Sunday, October 4, at Highmark Stadium.

Is A.J. Brown playing for New England?

No. Brown is on injured reserve. He made 1,003 receiving yards for Philadelphia last season before joining the Patriots.

Is Drake Maye still starting for the Patriots?

He started Week 3 and took 25 of the 30 New England throws, with Tommy DeVito taking five in relief.

21+ | Gambling Problem? Call 1-800-GAMBLER | Signal probabilities and odds approximate at time of writing and subject to change