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Miller will have a follow-up appointment soon with Dr. Keith Meister to determine the next steps for treatment of a small bone spur in his right elbow, Adam Jude of the Seattle Times reports. Miller received a platelet-rich plasma injection in early June after being diagnosed with a bone spur in his pitching elbow. He returned in August and was healthy for the rest of the regular season and playoffs, saying "the best I felt all year" was at the end of the season. Miller is not expected to require surgery, but he could be given a cortisone injection during his follow-up appointment and perhaps an additional one at the start of spring training. The 27-year-old had a disappointing regular season for the Mariners, posting a 5.68 ERA and 74:34 K:BB over 90.1 innings covering 18 starts.
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Miller didn't factor into the decision Friday during Game 5 of the ALCS against the Blue Jays, allowing one earned run on four hits and two walks while striking out four batters over four-plus innings. It looked like the 27-year-old righty was about to let the game get out of hand once he loaded the bases with no outs in the fourth, but he struck out Daulton Varsho and coerced a double play out of Ernie Clement to get through the inning unscored upon. Miller came back out to begin the fifth frame but was pulled after allowing a leadoff single to Addison Barger, who eventually came around to score. Because he threw only 56 pitches Friday, Miller may be able to work out of the bullpen during a potential Game 7.
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Miller pitched six innings, allowing one run on two hits and three walks while striking out three on his way to a win in Sunday's 3-1 victory over the Blue Jays in Game 1 of the ALCS. Miller surrendered a solo home run to George Springer on his first pitch the day, and he was forced to work around two walks in the first inning, but after that the right-hander hit his stride. Miller was able to finish his outing with five scoreless frames, allowing just two more batters to reach base. The 27-year-old certainly showed enough to potentially earn another start in the ALCS, and he's now given up three runs over 10.1 innings in two starts during the postseason.
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Miller will start against the Blue Jays in Game 1 of the ALCS on Sunday, Shannon Drayer of SeattleSports.com reports. The Mariners were forced to use three members of their rotation during Friday's 15-inning marathon against Detroit, so Miller will take the mound Sunday on just three days' rest. The 27-year-old threw just 55 pitches during his last appearance in Game 4 of the ALDS on Wednesday, so he may still be able to pitch fairly deep into Sunday's game despite his short recovery period.
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Miller took a no-decision in Game 4 of the ALDS versus the Tigers on Wednesday, allowing two earned runs on four hits and zero walks while striking out two batters over 4.1 innings. Miller allowed just two men to reach base through four innings, and the Mariners' offense gave him a 3-0 lead to work with entering the bottom of the fifth. However, after giving up two hits and an RBI to the Tigers' first three batters in the fifth, the 27-year-old was pulled in favor of Gabe Speier, who allowed an inherited runner to score as well as another man he put on base himself. The Tigers went on to win the game by a 9-3 margin, so the M's will need to take Game 5 at home Friday for Miller to have any chance of making another appearance on the mound this postseason.
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Stats
| Year | Team | APP | GS | INN | W | L | S | K | BBI | HA | ERA | WHIP |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2025 | SEA | 18 | 18 | 90.3 | 4 | 6 | 0 | 74 | 34 | 93 | 5.67 | 1.40 |
| 2024 | SEA | 31 | 31 | 180.3 | 12 | 8 | 0 | 171 | 45 | 131 | 2.94 | 0.97 |







