After Dorsey and the Bills won the first two games of the 2022 season in dominating fashion, he received national attention for an incident following the Bills' last-second loss to the rival Miami Dolphins in week 3. At the end of the game, Dorsey was caught on-camera reacting emotionally in the coaches' box, slamming his hat, headset, and Microsoft Surface tablet on the table before the telecast cut away.[28] Dorsey's reaction received a polarized response from fans, players, and analysts.[29] The Bills ultimately finished the 2022 season second in points scored and yardage in Dorsey's first year as offensive coordinator.[30]
On November 14, 2023, Dorsey was fired by the Bills after a 5–5 start to the season, including a slump that saw the Bills lose 4 of 6 games while struggling on offense. He was succeeded by quarterbacks coach Joe Brady.[31]