Hill attended Cheriton Bishop Primary School before moving on to Queen Elizabeths Community College in Crediton. Having played for Crediton RFC until the age of 15, Sam gained selection for England under 16s and moved to Ivybridge College sixth form for two years.[3]
Hill spent the early years of his professional career dual-registered with Cornish Pirates to aid his player development.[4]
Hill has been a regular for England juniors going back to his try scoring debut against the Namibia invitational XV.[5]
Hill has also recently been selected to play for England Saxons gaining one cap prompting a call up to England's pre-tour training squad to New Zealand.
On 13 March 2020, Hill left Exeter Chiefs to join Premiership rivals Sale Sharks on a two-year deal from the 2020–21 season.[6]