Kansas City Royals pitcher Amir Garrett appeared to be feeling ill during Monday’s game against the Chicago White Sox and had to be pulled from the game after recording just one out.

Garrett was removed from the game in the seventh inning as Kansas City defeated Chicago 12-5. He struck out Elvis Andrus and as he walked off the mound in sneakers, he vomited on the field.

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Amir Garrett is sick

Amir Garrett, #22 of the Kansas City Royals, takes ill on the mound after striking out Elvis Andrus, #1 of the Chicago White Sox, during the seventh inning of the game at Kauffman Stadium on May 8, 2023 in Kansas City, Missouri. . (Jamie Squire/Getty Images)

Max Castillo entered the game and helped Kansas City close out the win.

Garrett is in his second season with the Royals. In 15 appearances this season, he posted a 3.77 ERA with 13 strikeouts. Monday night was his 16th appearance of the year and he notched one more strikeout.

He joined the Royals in 2022. He made 60 appearances and had a 4.96 ERA with 49 strikeouts.

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Amir Garrett vs. the White Sox

Amir Garrett, #22 of the Kansas City Royals, leaves the game against the Chicago White Sox during the seventh inning of the game at Kauffman Stadium on May 8, 2023 in Kansas City, Missouri. (Jamie Squire/Getty Images)

Garrett is known for his fierce competitive spirit, which he displayed multiple times while with the Cincinnati Reds. He was part of a few bench-clearing fights while with the Reds.

With the win, Kansas City moved to 10-26 on the year. Chicago fell to 12-24. Both teams are in the bottom of the AL Central to start the season. Neither team has been able to find their rhythm in 2023 yet.

Amir Garrett vs. the Orioles

Kansas City Royals relief pitcher Amir Garrett reacts as he heads to the dugout after being thrown out in the ninth inning of a baseball game against the Baltimore Orioles in Kansas City, Mo., Thursday, May 4, 2023. (AP Photo/Colin E. Braley)

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Both teams are chasing the Minnesota Twins, who sit atop the division with a 19-16 record.