San Francisco 49ers 10-35 Buffalo Bills: Josh Allen the star as Bills cruise to fifth straight AFC East title

Josh Allen scored a receiving touchdown on a pass he threw as the Buffalo Bills clinched their fifth straight AFC East title with a 35-10 victory over the San Francisco 49ers on a snowy Sunday night.

Allen had touchdowns passing, rushing and receiving, becoming the first quarterback and seventh player in the Super Bowl era to do that and the first since the Niners' Christian McCaffrey in 2022.

His receiving TD came on a play in which he threw a short pass to Amari Cooper, who was wrapped up and pitched the ball back to Allen.

The QB sprinted to the left corner of the end zone and dived to the pylon for the score. Allen was credited with a touchdown passing and receiving, although it did not count as a reception.

"He pitched it, and I had to go make the play. It was dope," Allen said, before putting the division-clinching win into perspective. "The only thing this does is guarantee us a spot in the playoffs. Still a lot to learn and grow from."

Allen's final numbers were 13 of 17 passing for 148 yards and two touchdowns, three rushes for 18 yards and a score, and zero catches for 7 yards and a TD. He was serenaded by fans with chants of "MVP!" and sat out most of the fourth quarter.

Snow flew as the Bills (10-2) scored on four of five possessions spanning halftime to build a 28-3 lead, starting with Ray Davis' 5-yard run. James Cook scored on a career-long 65-yard run and finished with 107 yards rushing.

Buffalo have won seven straight since back-to-back losses to Baltimore and Houston, and are 10-2 or better for the fifth time in team history and first since 1991. The Bills became the NFL's eighth team, and first since Indianapolis in 2009, to clinch a division title with five games remaining.

Two days after announcing his engagement to Hollywood star Hailee Steinfeld, Allen upped his career total to 247 TDs (186 passing, 59 rushing and two receiving) to break Hall of Famer Jim Kelly's franchise record of 244. His other scoring plays were a 7-yard pass to Mack Hollins and an 8-yard run.

The defending NFC champion 49ers (5-7) unravelled as they dropped their third straight and lost McCaffrey to what coach Kyle Shanahan said was a potential season-ending injury to the posterior cruciate ligament in his knee.

Shanahan believes McCaffrey was hurt on an 18-yard run up the middle. The All-Pro running back stayed in the game and on the next play appeared to step awkwardly with his left foot on the snow-slicked field and went down immediately.

After being examined on the sideline, he limped to the locker room and was ruled out at the start of the second half.

McCaffrey had 53 yards on seven carries when he exited the game, his fourth after missing the first eight of the season with Achilles tendinitis.

Very little went right for the 49ers, who were missing five starters due to injury and are in jeopardy of missing the playoffs a season after losing the Super Bowl to Kansas City.

With snow falling all night and getting heavier as the game progressed, San Francisco's Jake Moody missed field goal attempts from 45 and 55 yards. The 49ers turned the ball over three times, losing three fumbles, including fullback Kyle Juszczyk getting the ball punched out of his arms at the Buffalo 2 to end San Francisco's first drive of the second half.

Moody opened the scoring with a 33-yard field goal and Isaac Guerendo scored on a 15-yard run. Buffalo extended its run of scoring 30 or more points to six straight games, while the Niners dropped to 0-5 when scoring 20 or fewer.

Brock Purdy, coming back after missing one game with a sore throwing shoulder, finished 11 of 18 for 94 yards.