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- The Bills–Patriots rivalry is an American football rivalry between the Buffalo Bills and the New England Patriots of the National Football League (NFL). Both teams are members of the East division of the American Football Conference (AFC) and play two games against each other annually. The series debuted in 1960 when both were charter members of the American Football League (AFL). The two clubs have combined for seventeen AFL or AFC championships, the most in any rivalry of the AFC East. Either the Patriots or Bills have won the AFC East division in 27 out of 34 seasons since 1988. The rivalry has traditionally been a very competitive one (41–38–1 at the close of the 20th century, in favor of New England) with the Patriots holding slight edges in the and , and the Bills with similar edges in the and . The series then became notable for its extreme lopsidedness during the New England career of quarterback Tom Brady, whose Patriots compiled a record of 32–3 (3–2 in the five games he missed) against the Bills in his two decades with the franchise (the and ). Until January 2021 (when Josh Allen passed him) Brady had won more games at Highmark Stadium than any quarterback for Buffalo since 2001, and Brady beat the Bills more times in his New England career than any other team. Buffalo is 5-1 against New England in . The Bills dominated the Patriots, , in a wild card matchup of the 2021–22 NFL playoffs that was the first "perfect offensive game" (i.e., scoring touchdowns on every drive with no punts, kicks, or turnovers) by any team in NFL history. This was the first Bills–Patriots rivalry playoff game since the two franchises joined the NFL in 1970; in their AFL days, Gino Cappelletti kicked four field goals en route to a 26–8 Boston Patriots victory to break their tie of identical regular season records in 1963. As of 2022, the Patriots lead the series 77–48-1. (en)
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- AFL Championships
*Bills – 1964, 1965
*Patriots – none
Super Bowl Championships
*Bills
*Patriots – 2001, 2003, 2004, 2014, 2016, 2018
Super Bowl Appearances
*Bills – 1990, 1991, 1992, 1993
*Patriots – 1985, 1996, 2001, 2003, 2004, 2007, 2011, 2014, 2016, 2017, 2018
AFL Eastern Division Championships
*Bills – 1964, 1965, 1966
*Patriots – 1963
AFC East Divisional Championships
*Bills – , , , , , , , ,
*Patriots - , , , , , , , , , , , , , , , , , , , ,
AFC Wild Card Berths
*Bills – , , , , , ,
*Patriots – , , , , , (en)
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