The left-hander departed his start against the Guardians on Wednesday due to a valgus extension overload in his left elbow — also known as pitcher's elbow — and he was initially expected to rest for a few days before the next steps of his recovery program were determined. Ragans said Thursday that he was already feeling much better than when he left Wednesday's contest, but he'll still spend at least the next couple of weeks on the IL after being diagnosed with the impingement. Stephen Kolek was called up from Triple-A Omaha in a corresponding move Friday and is a candidate to fill Ragans' spot in the starting rotation.

Vaz began the campaign on the injured list after fracturing two fingers on his right hand in early March, but he made a speedy recovery and was cleared to make his 2025 debut less than three weeks into the Texas League season. Though he's gotten off to a slow start to the season at the plate, the injury doesn't seem to be affecting him in the field, as he's made eight starts at second base and one in left field.

India hasn't played since April 18 and was placed on the injured list eight days ago due to a shoulder subluxation. After further testing, India required season-ending surgery. The 29-year-old's 2026 campaign ends with a .167/.310/.313 slash line with two home runs, eight RBI, eight runs scored and an 8:13 BB:K across 58 trips to the plate. It's been a disappointing two years for India in Kansas City after posting career-low numbers in 2025. Michael Massey and Nick Loftin should continue to see most of the reps at second base for the Royals.

Estevez made his first rehab appearance in the minors Wednesday as part of his recovery from a left foot injury, but he was removed after just two-thirds of an inning after displaying diminished velocity. Now that he's been officially diagnosed with a strained rotator cuff, the Royals will shut him down from throwing for three weeks before reevaluating him, at which point he may be cleared to restart a throwing program. Lucas Erceg will continue to work as Kansas City's go-to closer while Estevez is out.

Falter logged his fifth rehab appearance with Triple-A Omaha as he works back from left elbow inflammation. The outing was arguably his best of the assignment, as the southpaw didn't allow a baserunner, though it also marked his first appearance since April 15 (his initial rehab outing) in which he logged fewer than two innings. Across 8.2 innings at Triple-A, the 28-year-old owns a 3.12 ERA and 0.92 WHIP with a stellar 12:1 K:BB. Falter struggled in two relief appearances with Kansas City prior to landing on the injured list, allowing five runs on eight hits and two walks across 3.1 innings with four strikeouts. The veteran is likely to be activated in the near future, with a multi-inning role out of the bullpen his likely role upon reinstatement.

McArthur missed the entire 2025 season while completing his recovery from surgery to address an olecranon fracture in his right elbow, and though he was considered healthy heading into spring training, he experienced a minor setback before the end of camp. The right-hander resumed throwing bullpen sessions just over a week ago, but his move to the 60-day IL indicates that the Royals aren't expecting him to complete his rehab program until at least late May. The transaction will remove McArthur from the Royals' 40-man roster and free up a spot for catcher Elias Diaz, who was called up from Triple-A Omaha.

Marsh missed all of 2025 due to shoulder problems, and after undergoing surgery in November to address the issue, he's expected to miss the entire 2026 campaign as well. His move to the 60-day IL clears space on the 40-man roster for Mitch Spence, whom the Royals acquired in a trade with the Athletics on Thursday.