The Buffalo Bills' offense looked like some force had transported it to another time and place — more like they were playing on a high school field in 1975 than in an NFL stadium in 2025.

The Bills lined up and played basic football. They kept running the ball, and the Steelers were unable to stop the Bills, who won 26-7 on Sunday at Acrisure Stadium in Pittsburgh.

James Cook III rushed for 144 yards on 32 carries, and the Bills finished with 249 yards on the ground in 51 attempts. Ray Davis added 62 yards on nine carries, and quarterback Josh Allen ran for 38 yards and a touchdown.

The simplicity of the Bills' rushing attack left the Steelers flummoxed.

"I've never seen a team run a play as much as they ran it tonight and have as much success as they have," outside linebacker T.J. Watt said. "I'm out of words for it.

Allen, last season's NFL MVP, only had to be a game manager. He threw for a season-low 123 yards. Of course, Allen didn't need to be the hero with the Bills averaging 4.9 yards a carry and possessing the ball for 41:59.

"They were very effective," Watt said. "We tried many different things, and we weren't successful. It's not a tough run concept. It's just something that we need to stop."

The Steelers entered the season believing their high-priced defense might be the best in the league. Yet they entered Sunday's game ranked 27th in the NFL in total defense before getting shredded by the Bills.

The Steelers (6-6) have lost five of their last seven games and are fading fast, despite being tied with the Baltimore Ravens for first place in the AFC North. So, how do the Steelers at least improve their defense if not outright fix it?

"That's a great question," Watt said. "Have tough conversations, but we've been having tough conversations. So, it's finding a way to just play better, try to get everybody else, looking at myself in the mirror as well, trying to play better. We need to figure something out because clearly what's been going on hasn't been working effectively. To not be able to stack wins in the National Football League is not a winning formula."