James Cook headshot
RB Buffalo Bills #4

James Cook Injury status and history

Age
27
Height / weight
5'11", 190 lb
Experience
5th season

2026 Season

PPR PPG
16.7
Pos rank
RB13
Rostered
99%

Week 4 vs. Patriots, Sun Oct 4, 1:00 PM ET 16th vs. RBs, neutral

Should I start Cook in Week 4? Rest-of-season value in Redraft Command

James Cook Injury Update & History

Active
Checked

No injury designation for Week 4 against the Patriots. Cook has not missed a game this season.

2026 games missed
0
Last played Week 3, Sep 27
Latest injury
Ankle
Week 9, 2025, played through
Next game
Week 4 vs NE
Sun Oct 4, 1:00 PM ET

Practice participation

Week 4 reports: Wed, Thu, Fri

Cook hasn't appeared on an injury report this season.

Injury History at a Glance

One logged injury in five seasons. None of them has cost him a regular-season game.

A+

Durability

100/100

0

Games missed

1

Injury

—

Longest absence

No games missed to injury

Where He's Been Hurt

Marker size shows games missed. A dashed ring means he played through it.

Ankle2025, played thru
Front view: the player's right side is on your left. Side not recorded for the ankle.
Injuries by body part, regular-season games missed
Body partInjuriesGames missed
Ankle10
Total10

Injury risk profile: Moderate

  • No body part injured twice
  • Ankle in 2025, played through
  • 0 games in 5 seasons
  • 1 injury spread across 1 body part

James Cook Injury History

Every logged injury, most recent first. Games missed are regular-season games.

  1. 2026

    Healthy 0 games missed

    No injury has cost Cook a game this season.

  2. 2025

    Ankle Played through

    Week 9 · with the Bills

    Sustained an ankle injury in Week 9 against the Chiefs, had it taped on the sideline, and returned to the game.

If Cook Misses Time

Next man up: Ty Johnson

Ty Johnson is next on the Bills depth chart at running back. He's the handcuff: worth a bench spot in deeper leagues and for Cook managers, since the same backfield work would pass to him.

Who else it affects

His absence would move work to the rest of the offense, and Josh Allen would lose one of his main options.

Want a backup plan at running back before you need one?See rest-of-season RB rankings in Redraft Command

Injury status is the designation each club has filed, as our last check found it. History covers regular-season games missed. The durability score measures time lost to injury only; games not played as a backup don't count against it. Status last checked . Practice participation is from the league's official injury report on NFL.com, last read .

Fantasy points use PPR scoring.

All James Cook stats & analysis

RBs like James Cook

RB10Chuba HubbardPanthers53.1 PTSRB11Kyren WilliamsRams53.0 PTSRB12Javonte WilliamsCowboys50.5 PTS
RB13You are hereJames CookBills50.2 PTS
RB14Quinshon JudkinsBrowns48.3 PTSRB15Breece HallJets42.5 PTSRB16Jeremiyah LoveCardinals42.4 PTS

James Cook Injury FAQ

Is James Cook injured?

No. As of October 2, 2026, James Cook is active with no injury designation. He has played every game in 2026.

Is James Cook playing this week?

James Cook has no injury designation for Week 4 against the Patriots on Sunday, October 4, so he is on track to play. Should you start him?

Has James Cook missed any games this season?

No. James Cook has played in every Bills game in 2026, 3 games so far.

What is James Cook's injury history?

James Cook has 1 logged NFL injury, which did not cost him a regular-season game.

What was James Cook's most recent injury?

James Cook's most recent logged injury was an ankle injury in Week 9 of 2025. He played through it and missed no regular-season games.

Does James Cook have any recurring injuries?

No. James Cook's one logged injury was, so the record shows no recurring pattern.