The New England Patriots have a record of 20-7 against the spread against the Bills in the regular season and playoffs on the road since September 11, 2001.
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| TEAM | DATE | ATS | TM | OPP | RESULT | SPREAD | ATS DIFF | O/U | O/U DIFF | TD | 1DWN | OFF | OPP OFF | 3DWN% | 4DWN% | |||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 |  | Patriots | 12/16/2001 | 0-1 | @ | W 12-9 | -4 | -1 (N) | 38 | -17 (U) | 0 | 17 | 335 | 310 | 41.2 | |||||
| 2 | | Patriots | 11/3/2002 | 1-0 | @ | W 38-7 | +3 | +34 (Y) | 47.5 | -2.5 (U) | 5 | 23 | 422 | 331 | 66.7 | 50.0 | ||||
| 3 | | Patriots | 9/7/2003 | 0-1 | @ | L 0-31 | +1 | -30 (N) | 45.5 | -14.5 (U) | 0 | 16 | 239 | 322 | 40.0 | 0.0 | ||||
| 4 | | Patriots | 10/3/2004 | 1-0 | @ | W 31-17 | -4.5 | +9.5 (Y) | 36 | +12 (O) | 4 | 21 | 397 | 337 | 45.5 | |||||
| 5 | | Patriots | 12/11/2005 | 1-0 | @ | W 35-7 | -3.5 | +24.5 (Y) | 36.5 | +5.5 (O) | 5 | 32 | 494 | 183 | 68.8 | 0.0 | ||||
| 6 | | Patriots | 10/22/2006 | 1-0 | -250 | @ | +200 | W 28-6 | -5 | +17 (Y) | 37 | -3 (U) | 4 | 18 | 265 | 255 | 53.3 | |||
| 7 | | Patriots | 11/18/2007 | 1-0 | -1350 | @ | +900 | W 56-10 | -15.5 | +30.5 (Y) | 46.5 | +19.5 (O) | 8 | 30 | 510 | 229 | 72.7 | 100.0 | ||
| 8 | | Patriots | 12/28/2008 | 1-0 | -240 | @ | +200 | W 13-0 | -6 | +7 (Y) | 37.5 | -24.5 (U) | 1 | 16 | 241 | 276 | 20.0 | 100.0 | ||
| 9 | | Patriots | 12/20/2009 | 1-0 | -325 | @ | +255 | W 17-10 | -6.5 | +0.5 (Y) | 41.5 | -14.5 (U) | 2 | 19 | 224 | 241 | 41.7 | |||
| 10 | | Patriots | 12/26/2010 | 1-0 | -350 | @ | +290 | W 34-3 | -7 | +24 (Y) | 45 | -8 (U) | 4 | 20 | 348 | 369 | 47.1 | 0.0 | ||
| 11 | | Patriots | 9/25/2011 | 0-1 | -340 | @ | +280 | L 31-34 | -7 | -10 (N) | 54 | +11 (O) | 4 | 30 | 495 | 448 | 33.3 | 100.0 | ||
| 12 | | Patriots | 9/30/2012 | 1-0 | -210 | @ | +175 | W 52-28 | -4 | +20 (Y) | 48.5 | +31.5 (O) | 7 | 33 | 580 | 438 | 36.4 | |||
| 13 | | Patriots | 9/8/2013 | 0-1 | -500 | @ | +400 | W 23-21 | -10 | -8 (N) | 50.5 | -6.5 (U) | 2 | 26 | 431 | 286 | 55.0 | 0.0 | ||
| 14 | | Patriots | 10/12/2014 | 1-0 | -115 | @ | -105 | W 37-22 | -1 | +14 (Y) | 44.5 | +14.5 (O) | 4 | 22 | 396 | 336 | 46.7 | |||
| 15 | | Patriots | 9/20/2015 | 1-0 | -101 | @ | -119 | W 40-32 | +2 | +10 (Y) | 45 | +27 (O) | 4 | 27 | 507 | 349 | 30.0 | 0.0 | ||
| 16 | | Patriots | 10/30/2016 | 1-0 | -238 | @ | +210 | W 41-25 | -5.5 | +10.5 (Y) | 48 | +18 (O) | 5 | 23 | 357 | 376 | 69.2 | |||
| 17 | | Patriots | 12/3/2017 | 1-0 | -335 | @ | +305 | W 23-3 | -7.5 | +12.5 (Y) | 49 | -23 (U) | 2 | 23 | 435 | 268 | 41.7 | |||
| 18 | | Patriots | 10/29/2018 | 1-0 | -950 | @ | +750 | W 25-6 | -14 | +5 (Y) | 44 | -13 (U) | 2 | 22 | 387 | 333 | 35.7 | |||
| 19 | | Patriots | 9/29/2019 | 0-1 | -314 | @ | +253 | W 16-10 | -7 | -1 (N) | 41.5 | -15.5 (U) | 2 | 11 | 224 | 375 | 27.8 | |||
| 20 | | Patriots | 11/1/2020 | 1-0 | +172 | @ | -206 | L 21-24 | +4 | +1 (Y) | 41 | +4 (O) | 2 | 20 | 349 | 339 | 50.0 | |||
| 21 | | Patriots | 12/6/2021 | 1-0 | +124 | @ | -147 | W 14-10 | +3 | +7 (Y) | 40 | -16 (U) | 1 | 11 | 241 | 230 | 16.7 | 50.0 | ||
| 22 | | Patriots | 1/15/2022 | 0-1 | +175 | @ | -216 | L 17-47 | +4.5 | -25.5 (N) | 43 | +21 (O) | 2 | 20 | 305 | 482 | 50.0 | 100.0 | ||
| 23 | | Patriots | 1/8/2023 | 0-1 | +306 | @ | -390 | L 23-35 | +8 | -4 (N) | 44.5 | +13.5 (O) | 3 | 20 | 341 | 327 | 30.8 | 100.0 | ||
| 24 | | Patriots | 12/31/2023 | 1-0 | +667 | @ | -1045 | L 21-27 | +15 | +9 (Y) | 40 | +8 (O) | 3 | 16 | 294 | 281 | 40.0 | |||
| 25 | | Patriots | 12/22/2024 | 1-0 | +720 | @ | -1136 | L 21-24 | +14 | +11 (Y) | 48 | -3 (U) | 3 | 28 | 379 | 324 | 58.3 | 100.0 | ||
| Average | 2.7 | 3.1 | 21.9 | 368.1 | 324.0 | 44.9 | 0.1 | |||||||||||||
| Total | 20-7 | 85 | 591 | 9,939 | 8,748 | 44.9 | 70.4 | |||||||||||||
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More Patriots Stats
Team Leaders 
PASS
1,784
Maye
RUSH
285
Stevenson
REC
296
Henry
Team Rankings
PPG
22.9
19th
OPP PPG
20.4
9th
RUSH YDS/G
122.0
11th
PASS YDS/G
261.4
9th
Jets
Dolphins
GB
DET
LAC
NFL 2026 Leaders
NFL 2026 Rankings
NFL Fantasy 2026
NFL 2026 Betting
NFL 2026 Standings
| NFC East | W | L | T | PCT |
|---|---|---|---|---|
4 | 2 | 1 | .643 | |
3 | 4 | 0 | .429 | |
2 | 5 | 0 | .286 | |
1 | 4 | 1 | .250 | |
| NFC North | W | L | T | PCT |
6 | 0 | 0 | 1.000 | |
5 | 2 | 0 | .714 | |
4 | 2 | 0 | .667 | |
4 | 3 | 0 | .571 | |
| NFC South | W | L | T | PCT |
3 | 3 | 0 | .500 | |
3 | 4 | 0 | .429 | |
2 | 5 | 0 | .286 | |
2 | 5 | 0 | .286 | |
| NFC West | W | L | T | PCT |
6 | 1 | 0 | .857 | |
4 | 3 | 0 | .571 | |
3 | 4 | 0 | .429 | |
2 | 5 | 0 | .286 |
Giants
Cowboys
Eagles
Commanders
Vikings
Bears
Panthers
Falcons
Buccaneers
Saints
49ers
Seahawks
Rams
Cardinals| AFC East | W | L | T | PCT |
|---|---|---|---|---|
5 | 1 | 0 | .833 | |
4 | 3 | 0 | .571 | |
2 | 5 | 0 | .286 | |
1 | 5 | 0 | .167 | |
| AFC North | W | L | T | PCT |
5 | 2 | 0 | .714 | |
5 | 2 | 0 | .714 | |
4 | 2 | 0 | .667 | |
4 | 3 | 0 | .571 | |
| AFC South | W | L | T | PCT |
4 | 2 | 0 | .667 | |
2 | 5 | 0 | .286 | |
2 | 5 | 0 | .286 | |
1 | 6 | 0 | .143 | |
| AFC West | W | L | T | PCT |
5 | 1 | 0 | .833 | |
5 | 2 | 0 | .714 | |
3 | 4 | 0 | .429 | |
0 | 6 | 0 | .000 |
Browns
Steelers
Bengals
Ravens
Jaguars
Colts
Texans
Titans
Chiefs
Broncos
Raiders