After a trade of three-and-outs to start the game, the Steelers drove down the field in 12-plays, going 74-yards for a Ben Roethlisberger touchdown pass to Emmanuel Sanders. The score was just the second time all season the Dolphins defense has allowed a touchdown to a wide receiver.
Miami responded with a 64-yard drive, but had to settle for a field goal attempt. Caleb Sturgis then connectedt from 30-yards out to close within four points of Pittsburgh, trailing 7-3 after the first quarter.
After a pair of punts, the Dolphins were able to recover a fumble, forced by Cameron Wake on a strip sack, and Miami started their next drive at the Pittsburgh 31-yard line. Five plays later, Charles Clay was able to come down with a six yard touchdown pass from Ryan Tannehill, giving the Dolphins a 10-7 lead.
Miami would hold that lead through the remainder of the first half, then extend it with a four yard touchdown run from Daniel Thomas on the opening drive of the second half. The Dolphins were suddenly up 17-7, and looked to be in control.
However, things would quickly change, as the Steelers would drive 83-yards on 4 plays, taking 1:52 to score a 43-yard touchdown from Roethlisberger to Antonio Brown. The Dolphins would then see Tannehill intercepted on their next drive, with safety Troy Polamalu returning the pick for a touchdown. In the span of 2:36 seconds, the Dolphins saw their 17-7 lead turn into a 21-17 deficit.
Miami would come back three minutes later to score a touchdown on a 4-yard pass from Tannehill to Brian Hartline, who tip-toed along the sideline for the score.
The first play of the fourth quarter, however, would again put Pittsburgh on top as Jerricho Cotchery hauled in a 16-yard pass from Roethlisberger for the score. The Steelers would go up 28-24 with the score.
The Dolphins would regain the advantage at 31-28 with a spinning, tackle breaking, hand on the ground but not down, catch and run into the endzone. After holding the Steelers to a turnover on downs, with Olivier Vernon making the tackle of a scrambling Roethlisberger just one yard shy of the sticks, the Dolphins would add a field goal to extend the lead to 34-28.
Miami would survive a crazy lateral play with no time left when Antonio Brown stepped out of bounds at the 13-yard line.
Ryan Tannehill finished the game 20-for-33 for 200 yards, three touchdowns, and one interception, giving him an 95.5 passer rating on the day. He also had two rushes for 56 yards. Daniel Thomas, who replaced a concussed Lamar Miller during the game, finished the day with 16 carries, for 105-yards, and a touchdown. Charles Clay led the team with seven receptions for 97-yards and two scores. Brian Hartline added five receptions for 51-yards and a touchdown.
The Dolphins move to 7-6 on the season, while the Steelers fall to 5-8.