(CNN) — Thursday night’s NFL game between the Houston Texans and Buffalo Bills was a rough and tumble affair, featuring injuries aplenty – including to one of the officials.

Referee Adrian Hill had to be carted off the field following a non-contact injury in the third quarter of the Texans’ 23-19 win at NRG Stadium. Hill came up limping after a play and the game was stopped as medical staff looked him over before it was decided he would leave the contest.

The referee, who was leading the officiating crew on the night, was replaced by umpire Roy Ellison, eliminating the umpire position for the remainder of the game.

The rest of the evening was no less bruising, as the Texans’ vaunted defense – entering Thursday night No. 1 in scoring defense and total defense – lived up to its reput

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