Football (NFL)
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Football (NFL)

Lamar Jackson's "bearable" ankle is the Ravens' real risk vs. Bills

Baltimore gets its quarterback back, but a Lamar Jackson three weeks removed from a high ankle sprain is a gamble the Ravens must plan around, not a cure.

Published
November 1, 2026
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3 min
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Football (NFL)

Photo: Maryland GovPics / Wikimedia Commons (CC BY 2.0)

Is a quarterback who calls his ankle pain "bearable" really the answer to a two-game losing streak? That's the bet Baltimore is making on Sunday, and we think the Ravens would be wise to treat it as exactly that: a bet.

The facts are simple. Jackson returns after missing three games with an ankle injury, and Baltimore (4-3) arrives in Buffalo on a two-game skid. The Ravens went 1-2 without him, and, as CBS Sports notes, the offense scored just 23 total points over the past two weeks with Tyler Huntley filling in. Jackson was a full practice participant this week, and he has described the pain as "bearable." The Bills are slight home favorites.

Healthy Lamar and available Lamar are different players

Everyone is celebrating the return, and understandably so. Bills pass rusher Bradley Chubb put it plainly: Jackson "can beat you with his arm; he can beat you with his feet." That is the whole point of him. The problem is that the second half of that sentence is the half an ankle injury attacks first.

Baltimore Beat Down noted that Jackson, only three weeks removed from a high ankle sprain, won't be at 100%. We agree, and we'd go further. The Ravens' offense averaged 29 points in the first four games with Jackson. That number was built on a quarterback who could threaten defenses with his legs on every snap. A Lamar who is protecting the ankle, even subconsciously, probably doesn't produce the same offense. He may produce a very good one, but not that one.

Our read: "bearable" is a good sign for availability and a mild warning for explosiveness. Those aren't the same thing, and the game plan should reflect it.

Build the offense around the arm, not the legs

Here's where the matchup helps. The Bills' defense is awful by the numbers: it ranks near the bottom of the league in opponent efficiency, and SI Betting points out it has allowed 15 passing touchdowns. Zay Flowers is averaging over 100 yards per game. If you're coaching a quarterback with a tender ankle, that is a gift: you can win through the air without asking him to take designed hits.

So our recommendation is clear. Use the quick game and the Flowers connection early. Treat the quarterback run game as a changeup, not the foundation. If Jackson wants to scramble when a play breaks down, fine; let it be his choice, not the script's. The Ravens can't afford a slow start, but they can afford a conservative one if it keeps their star upright.

The other side of the ledger is Josh Allen

The temptation is to think Jackson's presence settles it. It doesn't. Buffalo's offense leads the NFL at 32.8 points per game, and Allen is the leading MVP candidate, per SI. The last two meetings were Buffalo wins decided by a combined three points. If the Ravens need Jackson to be perfect, they've already lost the thread.

That's the real risk. Baltimore's defense, which allows fewer than 24 points a game, has to give the offense some margin. A limited Jackson plus a defense that can't get stops is a recipe for a one-score game in the fourth quarter, and against Allen in Buffalo, we suspect that ends badly for the visitors.

Our verdict

Jackson playing is clearly better than Jackson sitting. Baltimore's season didn't have room for another month of Huntley. But the Ravens shouldn't confuse "he's back" with "he's back to normal." We expect a sharp, efficient passing day more than a vintage Lamar highlight reel, and we'd judge the Ravens by how well they adapt to that, not by how often he breaks a run. If Jackson comes out of this game healthy and Baltimore still loses, that's a fair trade for them. If they ask him to be 100% when he isn't, the ankle becomes the story all over again.

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