Bills vs. Rams prediction, odds, time: 'Monday Night Football' picks from proven model — SkimNews

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- Buffalo Bills (3-1) and Los Angeles Rams (2-2) meet on Monday Night Football at 8:15 p.m. ET from SoFi Stadium, with the Rams installed as 3.5-point favorites and the over/under set at 54.5
- SportsLine's model, which simulates every NFL game 10,000 times, projects the Under 54.5 to hit 63% of the time at 50 combined points, with the Under cashing in each of the Rams' last two home games
- The model is 55-44 on top-rated NFL picks dating back to 2024 and has returned more than $7,000 for $100 players on its top-rated picks since inception
- Rams defense ranks second in the NFL at 247.5 yards allowed per game and ninth-fewest points at 20.8, anchoring the Under case
- Josh Allen has completed 66.4% of his passes for 1,039 yards, six touchdowns, and three interceptions through four games, while Matthew Stafford has gone 61.1% for 1,189 yards, six touchdowns, and six interceptions
- Buffalo is coming off a 29-26 Week 4 loss at New England, while Los Angeles defeated Philadelphia 24-20
Why it matters: Bettors weighing the Monday Night Football spread and total have a data-driven anchor: the model favors the Under at 63%, supported by the Rams' league-second-ranked defense allowing just 20.8 points per game. With both top Bills running at near-even statistical pace — Allen's six TDs offset by Stafford's matching six — the Rams' defensive edge becomes the primary differentiator the simulation leans on.
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