Miami Dolphins defensive tackle Zach Sieler has been ruled out for the upcoming game against the Buffalo Bills due to a fractured orbital bone sustained during practice. Sieler, who has not practiced since the injury, will miss his second consecutive game, with Da'Shawn Hand expected to start in his place. In addition to Sieler, tight end Julian Hill and cornerback Kader Kohou have also been ruled out, while safety Jevon Holland is unlikely to play due to a knee injury. Head coach Mike McDaniel confirmed that Sieler will not require surgery, but the timeline for his recovery remains uncertain. The Dolphins are managing multiple injuries among their starters, impacting their defensive lineup for the crucial matchup against the Bills.