James Cook is the Buffalo Bills number 4 running back, a 4-year pro, and finished the 2025 regular season as a solid mid-range fantasy option at his position. He averaged 16.8 fantasy points per game across 17 appearances, which ranks him 6th among running backs in our 2026 draft board. That per-game number is the starting point for every start or sit decision you make with him in 2026.
James Cook finished 2025 with 1,621 rushing yards and 12 ground scores. He added 33 catches for 291 receiving yards, a meaningful passing-game role that lifts his PPR floor without making him a pure receiving back.
James Cook profiles as a traditional early-down workhorse. When his team is ahead or in a favorable script, his volume is elite. When the game turns into a passing contest, his ceiling drops. Target him in spots where Vegas implies a positive script and his team is favored.
Heading into 2026, James Cook projects as a core piece of the Buffalo Bills offense. Managers drafting him need to plan around his Week 12 bye and monitor training camp reports for role changes. DraftCall's AI comparison engine lets you pit him against any other NFL player in seconds, factoring in matchup quality, recent form, and scoring format, so you can make start or sit calls with real reasoning instead of gut feel.