Royals starter Alec Marsh underwent labrum surgery, reports Anne Rogers of MLB.com. The right-hander did not pitch at all this season because of recurring shoulder issues. He’s going to miss most or all of the 2026 season as well. Rogers suggests it could be a yearlong rehab process.
A second-round pick in 2019, Marsh debuted as a swingman four years later. He held a rotation spot for most of the ’24 season, tossing 129 innings over 26 appearances. The Arizona State product put up a 4.53 ERA with slightly better than average strikeout and walk rates. He averaged 94 MPH on a four-seam fastball that headlined a six-pitch mix. Marsh looked like a fine fifth starter and would have battled for a spot at the back of Matt Quatraro’s rotation had he been healthy.
The 27-year-old is now in line for a second straight mostly lost season. There’ll be uncertainty about how well he’ll bounce back until the team finally sees him on the mound. Marsh spent this past season on the 60-day injured list. Kansas City reinstated him — along with James McArthur and Kris Bubic — this afternoon. Their roster count sits at 38.
Marsh has a little over two years of major league service. He will not qualify for arbitration until the end of next season and wouldn’t have the body of work to rack up significant earnings, at least in year one. If the Royals keep him on the roster all winter, they can place him back on the 60-day IL at the beginning of Spring Training.
Kansas City will go into 2026 with Cole Ragans, Michael Wacha and Seth Lugo locked into rotation spots. Bubic will be in there as well unless the Royals trade him for a hitter. Noah Cameron projects as the fifth starter, while Ryan Bergert, Stephen Kolek and Luinder Avila are on the 40-man roster and have minor league options. Bailey Falter and Kyle Wright hold 40-man spots for now, but there’s a good chance the Royals non-tender them. It’s a talented group but one that was hit hard by injuries late in the season, so it’d make sense for K.C. to add an innings eater even if the offseason focus is on upgrading the outfield and second base.

Looks like KC has 7 legitimate starters. They could add another one but I’d put that pretty low on the list since they need at least 3 hitters and don’t figure to have much $
I suppose we’ll just assume that was his shoulder labrum and not a hip labrum.