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Bills vs Rams Prediction, Picks & Odds

Buffalo Bills vs Los Angeles Rams prediction, picks and odds for Week 5 of the 2026 NFL season

Buffalo have scored 127 points, more than any team in the NFL. Los Angeles have conceded 582 passing yards, fewer than all but one. Our Bills vs Rams prediction covers the Sunday night game those two numbers deserve.

The Buffalo Bills are 3-1 and average 5.05 yards a carry on the ground. The Los Angeles Rams are 2-2 with a +2 differential. They are without Myles Garrett, who is on injured reserve after 23 sacks last season.

Week 5 · Editorial pick

Bills vs Rams: our editor’s props

Two editorial selections to sit with the live Signal read below.

Bills AT Rams

Our props

Player propJames Cook III 80+ rushing yardsCook has 421 rushing yards, third in the NFL, and Buffalo average 5.05 a carry. Los Angeles concede 3.96 a carry, so this is a genuine test rather than a free square.
★★★☆☆3/5 confidence
TotalUnder 47.5 pointsLos Angeles allow a 75.4 opponent passer rating and 33.3% on third down, both among the better marks in the league. Buffalo score freely, which keeps this from being a strong lean.
★★☆☆☆2/5 confidence

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

Bills vs Rams: 2026 form so far

The highest-scoring team in football against one of its stingiest secondaries. The table measures each attack against what the opposite defense has given up.

Bills attack against the Rams defense

Per gameBills offenseRams allow
Passing yards247.2145.5
Rushing yards139.0102.0
Yards per carry5.14.0
Passer rating100.175.4
Touchdowns4.02.2
Third-down conversion53.3%33.3%
Red-zone conversion68.8%58.3%
Sacks conceded / recorded2.21.8

Rams attack against the Bills defense

Per gameRams offenseBills allow
Passing yards290.2256.2
Rushing yards126.8116.0
Yards per carry4.84.0
Passer rating80.4103.4
Touchdowns2.53.2
Third-down conversion43.1%40.7%
Red-zone conversion53.3%68.8%
Sacks conceded / recorded1.52.5

Figures are season to date, across 4 games.

Buffalo’s 127 points lead the league and their 53.3% third-down rate is second only to San Francisco. The Rams have conceded nine touchdowns in four games, so something gives here.

Bills vs Rams quarterback matchup

Buffalo rate 100.1 through the air to the Rams’ 80.4, though Los Angeles have thrown for 1,161 yards, the second-most in the NFL.

TeamQuarterbackLast gameSeason to date
BillsJosh Allen16/26, 204 yds, 0 TD, 2 INT, 54.0 rtg79/119, 1039 yds, 6 TD, 3 INT, 100.1 rtg (4 games)
RamsMatthew Stafford30/55, 390 yds, 2 TD, 2 INT, 74.1 rtg99/162, 1189 yds, 6 TD, 6 INT, 80.5 rtg (4 games)
Last game is Week 3. Season figures are 2026 to date, with games played in brackets.

Bills vs Rams injury report and team news

Myles Garrett is on injured reserve for Los Angeles, taking out a pass rusher who recorded 23 sacks last season.

Greg Rousseau has six sacks for Buffalo, the most of any player in the NFL.

Davante Adams has 390 receiving yards for the Rams, fifth in the league.

Sunday night at SoFi

Buffalo score in every way available. One hundred and twenty-seven points leads the league, 556 rushing yards at 5.05 a carry is among the best ground games in football, and a 53.3% third-down rate keeps drives alive. Sixteen touchdowns in four games.

The Rams have the defense to make it awkward. A 75.4 opponent passer rating is third-best in the NFL, 582 passing yards conceded is second-fewest, and they allow just 33.3% on third down. The absence of Myles Garrett matters more against an offense this balanced.

Los Angeles have thrown for 1,161 yards themselves, second only to Carolina, which suggests a shootout. The 80.4 rating behind it suggests otherwise — plenty of volume, not much efficiency. Buffalo’s defense has conceded 13 touchdowns, so the Rams will get their chances.

Players to watch

  • James Cook III (BUF, RB): 421 rushing yards, third in the NFL, at 5.05 a carry as a team.
  • Dalton Kincaid (BUF, TE): 270 receiving yards, joint 13th in the league.
  • Davante Adams (LA, WR): 390 receiving yards, fifth in the NFL.
  • Kyren Williams (LA, RB): 294 rushing yards against a defense conceding 4.04 a carry.

How to watch Bills vs Rams

Kickoff is 8:15 PM ET on Monday, October 12 at SoFi Stadium, which is 7:15 PM CT and 5:15 PM PT. ABC and ESPN have the Monday night broadcast.

DetailBills vs Rams
DateMonday, October 12, 2026
Kickoff8:15 PM ET / 7:15 PM CT / 5:15 PM PT
VenueSoFi Stadium, Inglewood, CA
TVABC/ESPN
Live streamNFL+ / ESPN
WeekWeek 5, 2026 NFL season

Bills vs Rams prediction and score projection

Buffalo win 27-23. The Rams have the better secondary and will keep this close, but 127 points in four games is not a sample that corrects itself on a Sunday night.

Signal’s live probability and the current market number update through to kickoff.

Every Week 5 game, previewed

Kickoff (ET)GameOur predictionPreview
Thu 8:15 PMBuccaneers @ CowboysCowboys 27-20Read
Sun 9:30 AMEagles @ JaguarsJaguars 24-17Read
Sun 1:00 PMBears @ PackersBears 24-20Read
Sun 1:00 PMBengals @ DolphinsBengals 27-16Read
Sun 1:00 PMBrowns @ JetsBrowns 20-17Read
Sun 1:00 PMTexans @ TitansTexans 19-16Read
Sun 1:00 PMColts @ SteelersSteelers 21-20Read
Sun 1:00 PMRaiders @ PatriotsRaiders 23-20Read
Sun 1:00 PMVikings @ SaintsVikings 26-17Read
Sun 1:00 PMGiants @ CommandersGiants 24-17Read
Sun 4:05 PMBroncos @ ChargersBroncos 23-17Read
Sun 4:25 PMLions @ CardinalsLions 27-20Read
Sun 4:25 PM49ers @ SeahawksSeahawks 24-21Read
Sun 8:20 PMRavens @ FalconsRavens 26-20Read
Mon 8:15 PMBills @ RamsBills 27-23You are here

NFL predictions for the round and the NFL odds page carry the rest of the card. The outright markets are priced in who wins the AFC. We price the player markets in player prop betting.

Bills vs Rams FAQ

Who is favored, the Bills or the Rams?

Buffalo. The Bills are 3-1 and lead the NFL with 127 points; Los Angeles are 2-2 at +2.

What time is Bills vs Rams?

8:15 PM ET on Monday, October 12, at SoFi Stadium.

Is Myles Garrett playing?

No. Garrett is on injured reserve for the Rams.

Which team has scored the most points this season?

Buffalo, with 127 in four games, ahead of San Francisco and Dallas on 122.

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