Nationals’ Josiah Gray Undergoes Tommy John Surgery

July 24: Gray underwent a Tommy John procedure and internal brace, tweets Mark Zuckerman of MASNsports.com. He’ll miss at least the bulk of next season.

July 19: Nationals right-hander Josiah Gray has been diagnosed with a partial tear of the ulnar collateral ligament in his right elbow and will undergo season-ending surgery next week, tweets Bobby Blanco of MASNsports.com. Gray tells reporters that it hasn’t yet been determined whether he’ll undergo a traditional Tommy John surgery, an internal brace procedure or a hybrid of both (X link via Andrew Golden of the Washington Post). That determination won’t be made until the surgery is being performed, but he’ll be sidelined well into next season regardless.

Gray, 26, came to the Nats alongside catcher Keibert Ruiz in the blockbuster 2021 deadline trade sending Max Scherzer and Trea Turner to the Dodgers. He stepped into the Nats’ rotation that same summer and has been a fixture on the staff since, although he’s only been healthy enough to make two starts in 2024. Gray was rocked for 13 runs in just 8 1/3 innings across those two outings before heading to the injured list with a flexor strain.

Just a few weeks ago, things looked to be trending up for Gray. He went out on a minor league rehab assignment on June 9 and, after a shaky first outing, allowed four runs in 15 innings across his next three starts. He tossed six innings in a Triple-A appearance on June 25 and allowed just one run on four hits and no walks with four punchouts. At the time, it seemed that with one more rehab outing, Gray would get the go-ahead to rejoin the Nationals’ rotation.

His next start, however, yielded disastrous results. He was torched for seven runs in just three innings and exited the game with an injury — this time feeling discomfort in his right elbow. Further testing was performed, and Gray unfortunately received the worst-case scenario for any pitcher when he undergoes testing on his elbow.

A former second-round pick, Gray was long touted as a top prospect before his big league debut — not necessarily because of an ace-caliber ceiling but because he was considered a very likely third or fourth starter. In 2023, he looked to have emerged as just that with the Nats, tossing 159 innings with a 3.91 ERA. Gray’s 20.5% strikeout rate and particularly his 11.5% walk rate were worse than the league average, but he substantially cut back on his prior home run troubles last season. Even with sub-par strikeout and walk rates, Gray looked the part of an innings-eating back-end starter, and given that he was just entering his age-26 season, the possibility for another step forward remained.

Now, he’ll be sidelined well into his age-27 campaign — potentially missing the majority of next season, depending on the extent of the surgery he requires. A Tommy John or Tommy John/internal brace hybrid could come with a recovery timetable of up to 14 months. If his recovery is indeed on the lengthy end of the spectrum, it’s possible this injury will knock him out until Opening Day 2026.

Gray entered the 2024 season with 2.075 years of service. He’s been collecting big league service time on the injured list and will continue to do so for the remainder of the year. He’ll finish at 3.075 years and qualify for arbitration for the first time. He’s entrenched in the team’s plans and has three seasons of control remaining beyond the current year, so there’s no chance he’ll be considered a non-tender candidate, even if it’s possible he misses all of next year.

Subtracting Gray from the rotation outlook is a significant punch to the Nationals’ outlook over the next year-plus. With Patrick Corbin coming off the books and top prospect Cade Cavalli soon to return from his own Tommy John procedure, the Nats could look ahead to a 2025 rotation of Gray, Cavalli, MacKenzie Gore, breakout righty Jake Irvin and impressive rookie Mitchell Parker — to say nothing of any potential offseason additions to the pitching staff.

With Gray now on the shelf, that’ll only add further motivation for longtime baseball ops leader Mike Rizzo to add some rotation help in the winter (or perhaps to nab a near-MLB-ready arm at this month’s July 30 trade deadline). The Nationals aren’t quite done with their rebuilding effort — they traded Hunter Harvey last week and could well trade Kyle Finnegan, Jesse Winker and others before the deadline — but are in the final stages. James Wood, the sport’s No. 1 prospect per Baseball America, made his debut earlier this month. Gore, CJ Abrams and Luis Garcia Jr. have cemented themselves as core players this season. Last year’s No. 2 overall pick, Dylan Crews, should make his big league debut before long. Things are trending up, but the injury to Gray is a setback of some note that figures to factor into the organization’s offseason outlook.