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If an official can't continue due to injury/illness, the B will move to the injured official's spot and they continue with 6 officials.
Happened in a Monday night game a couple of weeks ago also.
The NFL does not have alternate officials (although I think with the new agreement and adding crews, they might start having alternates assigned to gameday crews).
I know that at the upper levels of NCAA, there's an alternate official with each crew. (either someone whose regular crew is off for the week, or an up-and-coming official from a lower conference).
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