James Cook vs Justice Hill: Who Should You Start?
James Cook and Justice Hill are at different tiers heading into 2026. The Buffalo Bills running back averaged 16.8 PPG in 2025, a full 10.7 points per game ahead of Justice Hill's 6.1 with the Baltimore Ravens. That kind of gap doesn't close on matchup alone.
James Cook carries a 10.7-point PPG advantage from the 2025 season. That baseline matters, but it is one input among several. Matchup difficulty, scoring trends, and injury reports move the needle week to week, which is why the best answer changes depending on when you are asking.
Both profile as early-down workhorses. James Cook ran for 1621 yards and 12 touchdowns; Justice Hill posted 93 and 2. Goal-line share, red zone touches, and which team is favored are usually the tiebreaker when neither back offers passing-game volume.
One thing to note: both players share a Week 7 bye. That means you need a backup plan at running back for that week, especially if one of these two is your starter.
