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According to Molitor, Mixon and some of his teammates were harassing Molitor and her friend, claiming the friend was gay. Mixon then followed Molitor and her friend into a shop. The surveillance video showed Mixon and Molitor arguing, followed by Molitor pushing, slapping then spitting in Mixon’s face and him punching her. The punch caused her face to slam into a table, breaking her jaw. Mixon later told police that Molitor's friend had directed a racial slur at him and that he responded with a homophobic slur at the friend.

In the 2018 season opener against the Indianapolis Colts, Mixon started the season off with 95 rushing yards, a rushing touchdown, and five receptions for 54 yards in the 34–23 victory. In the next game against the Baltimore Ravens, he had to leave the game multiple times due to a knee injury. He returned to action in Week 5 against the Miami Dolphins with 93 rushing yards, 22 receiving yards, and a receiving touchdown in the 27–17 victory. In Week 8, against the Tampa Bay Buccaneers, he had 123 rushing yards and two rushing touchdowns in the 37–34 victory for his second-career multi-touchdown game. On December 9, Mixon racked up 111 yards and a score on the ground against the Los Angeles Chargers. In Week 15 against the Oakland Raiders, Mixon rushed for 129 yards and two touchdowns in a 30-16 win. This was the third multi-touchdown game of Mixon's career. He finished the season leading the AFC in rushing yards with 1,168.

Coming out of college, some analysts and scouts graded Mixon as a first-round talent but projected him to be selected in the third or fourth round due to his prior history. He was ranked the fifth-best running back by NFLDraftScout.com, the fourth-best by Sports Illustrated, and the third-best back by Pro Football Focus. Although he was a talented prospect, the NFL declined to invite him to the NFL Scouting Combine. ESPN reported that on the weekend of the combine the Cincinnati Bengals met with Mixon in order for them to get a chance to talk with him extensively about his character. On March 8, 2017, Mixon performed all of the combine tests and completed the positional workouts at Oklahoma's Pro Day.

Mixon was drafted by the Cincinnati Bengals in the second round (48th overall) of the 2017 NFL Draft. He was the fourth running back to be selected in that year's draft. He was viewed as a first-round talent by some scouts, but several teams removed him from their draft board entirely due to character concerns after a prior assault on Amelia Molitor, a female student at Oklahoma. New England Patriots owner Robert Kraft said, "While I believe in second chances and giving players an opportunity for redemption, I also believe that playing in the NFL is a privilege, not a right. For me, personally, I believe that privilege is lost for men who have a history of abusing women." After Mixon was drafted, ESPN writer Dan Graziano wrote that, "No 2017 draft pick enters the league under more intense scrutiny or controversy." The editorial board of Cincinnati TV station WCPO criticized the draft pick and called for a boycott of the Bengals, writing, "Instead of buying a Bengals ticket this year, take the $50 or more you would have spent on that ticket and donate the money to a nonprofit that works to prevent violence against women." On June 2, 2017, the Bengals signed Mixon to a four-year, $5.45 million contract with $2.81 million guaranteed and a signing bonus of $2.10 million.

On September 10, 2017, Mixon made his NFL debut in a 20–0 loss to the Baltimore Ravens. He had eight rushes for nine yards and three receptions for 15 yards. In Week 3, against the Green Bay Packers, his role in the offense expanded with 18 carries for 62 yards. In Week 5, against the Buffalo Bills, he recorded his first career rushing touchdown, a five-yard rush in the fourth quarter. In Week 8, against the Indianapolis Colts, he recorded over 100 scrimmage yards (18 rushing and 91 receiving) for the first time in his career, 67 coming on a long run-after-catch play in the second quarter. After three disappointing weeks of 31 rushing yards against the Jacksonville Jaguars, 37 rushing yards against the Tennessee Titans, and 49 rushing yards against the Denver Broncos, averaging just 2.79 yards per carry over the time span but recording two touchdowns, Mixon led the NFL in Week 12 with a career-best 114 rushing yards against Cleveland, along with a touchdown and 51 yards receiving. He closed out his rookie season with 96 rushing yards against the Baltimore Ravens in the 31–27 victory. Overall, in his rookie season, Mixon finished with 626 rushing yards, four rushing touchdowns, 30 receptions, and 287 receiving yards.

Mixon started the 2016 season with 40 rushing yards, one rushing touchdown, and 77 receiving yards in a loss to Houston. In the next game against Louisiana–Monroe, he had 117 rushing yards. On October 1, against TCU, he had 105 rushing yards, one rushing touchdown, five receptions, and 70 receiving yards. On October 15, against Kansas State, he had 88 rushing yards, 34 receiving yards, one receiving touchdown, and threw a 26-yard touchdown. On October 22, he had the best statistical performance of his collegiate career with 31 carries for 263 rushing yards and two rushing touchdowns to go along with four receptions for 114 receiving yards and three receiving touchdowns in a win over Texas Tech. His career day against Texas Tech marked the first of six consecutive games with at least one rushing touchdown. On November 12, against Baylor, he had 124 rushing yards, one rushing touchdown, five receptions, and 63 receiving yards. He followed that up with 147 rushing yards and a rushing touchdown against West Virginia. On December 3, against Oklahoma State, he had 99 rushing yards, one rushing touchdown, two receptions, 19 receiving yards, and a receiving touchdown. On January 2, he had 91 rushing yards, two rushing touchdowns, five receptions, and 89 receiving yards in the victory over Auburn in the Sugar Bowl.

After the 2016 season, Mixon decided to forgo his remaining two years of eligibility and enter the 2017 NFL Draft.

Mixon received a one-year deferred sentence and was ordered to undergo counseling along with 100 hours of community service. Molitor filed suit in federal court against Mixon on July 22, 2016, accusing Mixon of negligence, willful and wanton misconduct, and intentional infliction of emotional distress. A settlement in the case was reached, and Mixon apologized to Molitor on April 21, 2017.

Oklahoma coach Bob Stoops suspended Mixon for one game in 2016 after an incident involving him and a parking attendant. After receiving a parking citation, Mixon confronted the attendant, tore the citation in half, and threw the pieces. According to the incident report, he then "inched at the officer" with his vehicle "to intimidate the officer".

Mixon was ranked as a five-star recruit and the top-ranked running back in the nation by the Rivals.com recruiting network. In January 2014, he committed to the University of Oklahoma to play college football. He had 47 offers, and ultimately chose Oklahoma over Alabama, California, Wisconsin, and UCLA.

Mixon attended and played college football for the University of Oklahoma from 2014–2016. He was suspended from the Oklahoma football team for the 2014 season after a misdemeanor assault charge in October 2014. He earned playing time his redshirt freshman year, playing in all 12 games with three starts. In his first career game, Mixon had a 76-yard touchdown reception, the longest catch ever by a Sooner freshman running back. In addition, he ran for 27 yards on five carries against Akron. On October 24, against Texas Tech, he had 154 rushing yards and two rushing touchdowns. In the annual rivalry game against Oklahoma State, he had 136 rushing yards and two rushing touchdowns. Oklahoma qualified for the College Football Playoff in the 2015 season. In the semifinals against Clemson in the Orange Bowl, he was limited to four rushing yards and 11 receiving yards in the loss. During the 2015 regular season, he ran for 749 yards on 110 carries, averaging 6.8 yards. He rushed for seven touchdowns and set his career long carry at 66 yards. He also recorded 25 receptions for 345 yards, averaging 13.8 yards per reception, and four touchdowns.

Mixon entered an Alford plea to a misdemeanor assault charge in October 2014 for punching Amelia Molitor, breaking bones in her face and resulting in hospitalization and surgery. The incident happened on July 25, 2014, in Norman, Oklahoma.

In Week 3 against the Buffalo Bills, Mixon rushed 15 times for 61 yards and caught two passes for 34 yards and a touchdown as the Bengals lost 21–17. In Week 10 against the Baltimore Ravens, Mixon rushed a season high 30 times for 114 yards in the 49–13 loss. In Week 11 against the Oakland Raiders, Mixon rushed 15 times for 86 yards and his first rushing touchdown of the season in the 17–10 loss. In Week 14 against the Cleveland Browns, Mixon finished the game with 23 rushes for 146 yards and a touchdown and three catches for 40 yards as the Bengals lost 19-27. During Week 15 against the New England Patriots, Mixon finished with 25 rush attempts for 136 rushing yards as the Bengals lost 13–34. In week 17 against the Cleveland Browns, Mixon rushed 26 times for 162 yards and two touchdowns during the 33–23 win. In the 2019 season, Mixon finished with 1,137 rushing yards and five rushing touchdowns to go along with 35 receptions for 287 receiving yards and three receiving touchdowns.

Joseph Tyler Mixon (born July 24, 1996) is an American football running back for the Cincinnati Bengals of the National Football League (NFL). He played college football at Oklahoma, and was drafted by the Bengals in the second round of the 2017 NFL Draft. He was AFC's top rusher in the 2018 season with 1,168 yards of rushing and 4.9 yards per carry.