Buffalo Bills and Pittsburgh Steelers have played a total of 30 games against each other, including the regular season and playoffs. The Bills have won 13 of these games, while the Steelers have won 17 times. No games between the Bills and the Steelers ended in ties. The Bills and Steelers have played 4 playoff games, in which they both won 2 times each.
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Buffalo Bills vs Pittsburgh Steelers Head To Head Records & Stats
| Event | Games | Buffalo Bills Won | Pittsburgh Steelers Won | Ties |
| NFL Regular Season | 26 | 11 | 15 | 0 |
| NFL Playoffs | 4 | 2 | 2 | 0 |
| Overall | 30 | 13 | 17 | 0 |
Buffalo Bills vs Pittsburgh Steelers H2H Longest Winning Streaks
The longest winning streak for the Buffalo Bills over the Pittsburgh Steelers is 5 games. The streak started on 9 November 1986 and ended on 9 January 1993. On the other hand, the longest winning streak for the Pittsburgh Steelers over the Buffalo Bills is 6 games. The streak started on 30 September 2001 and ended on 11 December 2016.
Buffalo Bills vs Pittsburgh Steelers: Last 10 Games Results
| Date | Home Team | Visiting Team | Winning Team | Final Score |
| 01/15/2024 | Buffalo Bills | Pittsburgh Steelers | Buffalo Bills | 31-17 |
| 10/09/2022 | Buffalo Bills | Pittsburgh Steelers | Buffalo Bills | 38-3 |
| 09/12/2021 | Buffalo Bills | Pittsburgh Steelers | Pittsburgh Steelers | 16-23 |
| 12/13/2020 | Buffalo Bills | Pittsburgh Steelers | Buffalo Bills | 26-15 |
| 12/15/2019 | Pittsburgh Steelers | Buffalo Bills | Buffalo Bills | 10-17 |
| 12/11/2016 | Buffalo Bills | Pittsburgh Steelers | Pittsburgh Steelers | 20-27 |
| 11/10/2013 | Pittsburgh Steelers | Buffalo Bills | Pittsburgh Steelers | 23-10 |
| 11/28/2010 | Buffalo Bills | Pittsburgh Steelers | Pittsburgh Steelers | 16-19 |
| 09/16/2007 | Pittsburgh Steelers | Buffalo Bills | Pittsburgh Steelers | 26-3 |
| 01/02/2005 | Buffalo Bills | Pittsburgh Steelers | Pittsburgh Steelers | 24-29 |
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