Garcia was removed from his start Tuesday against the Blue Jays with right elbow discomfort, Matt Kawahara of the Houston Chronicle reports.

Garcia made it through just 1.2 innings before calling for a trainer to come take a look at him, and he was removed after a very brief discussion with the Astros' staff. More details regarding his injury won't be known until the team takes a closer look at him, though it's worth noting that the right-hander's velocity was down for the duration of his start.

The Red Sox selected Early's contract from Triple-A Worcester ahead of his start Tuesday versus the Athletics.

After posting a 2.60 ERA and 1.11 WHIP across 100.1 innings between Double-A Portland and Triple-A Worcester, Early will be thrust into the MLB rotation as the replacement for Dustin May (elbow). Early, 23, most recently pitched six innings of one-run ball while punching out 10 batters at Worcester, but he'll be challenged in his MLB debut Tuesday while facing an Athletics lineup that's posted an .823 OPS since the beginning of the month.

The Red Sox placed May on the 15-day injured list Tuesday with right elbow neuritis.

The Red Sox haven't officially ruled out May for the remainder of the regular season, though the timing of his injury would likely allow him to make just one more start in September if he returns after a minimum-length stay. Connelly Early was promoted from Triple-A Worcester to fill the void in Boston's rotation and will make his MLB debut Tuesday against the Athletics.

The Royals placed Wacha on the 7-day injured list Tuesday after he was diagnosed with a concussion, Anne Rogers of MLB.com reports.

Wacha was involved in a minor off-the-field accident and is headed back to Kansas City to be evaluated further. He had been scheduled to start Wednesday in Cleveland, but that will no longer happen. Wacha will be eligible to return as soon as Sept. 16 versus the Mariners, but it's unclear at this point whether he will be ready by that date. The Royals have not announced a replacement for Wacha in the rotation.

Arrighetti will receive a second opinion on his injured right elbow this week, Chandler Rome of The Athletic reports.

Arrighetti told reporters last week that his UCL was intact and he would not require surgery. That's presumably still the case, but more should be known about his course of treatment after he receives a second opinion. Arrighetti has been out for all of September and is not expected back before the end of the regular season.

Walter will undergo surgery on his left elbow this week, Chandler Rome of The Athletic reports.

The specifics on the nature of the procedure aren't clear, but more should be known after the surgery takes place. Walter was terrific this season when healthy for the Astros, collecting a 3.35 ERA and 52:4 K:BB over 53.2 innings covering nine starts. If it's UCL surgery that the 29-year-old needs, he would likely be out until the 2027 season.

The Astros recalled France from Triple-A Sugar Land on Tuesday.

France allowed one run over five innings in his last start at Sugar Land. He had pitched in relief in his three appearances prior to that, and the Astros plan to deploy him as a multi-inning reliever.

Orioles interim manager Tony Mansolino said that Kremer (forearm) played catch Sunday and will do so again Tuesday, Jake Rill of MLB.com reports.

Kremer was removed from his start in Friday's 2-1 win over the Dodgers after three innings due to right forearm soreness. An MRI came back clean, and while he will miss his next turn in the rotation, the hope remains that Kremer could avoid a stint on the 15-day injured list.

Kolek is slated to start Thursday's game against the Guardians at Progressive Field.

With Seth Lugo (back) recently joining Cole Ragans (shoulder) on the injured list, Kolek will stick around with the Royals to make a second turn through the rotation following his call-up from Triple-A Omaha last Thursday. During his start in this past Saturday's 11-2 win over the Twins, Kolek went seven strong innings and struck four batters while permitting two earned runs on six hits and one walk. He now maintains a respectable 3.88 ERA over 92.2 innings between San Diego and Kansas City, though it's supported by a weak 9.3 K-BB%.

The Astros are expected to recall France from Triple-A Sugar Land during their series in Toronto that runs through Thursday, Chandler Rome of The Athletic reports.

France's last appearance with Sugar Land was a start, but his three outings prior to that came out of the bullpen, and he's expected to fill a multi-inning relief role with Houston. The right-hander missed the first half of this season while recovering from shoulder surgery and holds a 6.38 ERA and 23:20 K:BB over 24 innings during his time with Sugar Land.