Baltimore Orioles vs Kansas City Royals Picks and Predictions for Monday, April 20, 2026

By: David Anicetti Published 04/20/2026, 12:40 AM ET

The Baltimore Orioles visit the Kansas City Royals at Kauffman Stadium on Monday at 7:40 PM ET on MLB.TV/FS1. Baltimore is 10-11, third in the AL East, while Kansas City is 7-14 and tied for fourth in the AL Central. The Orioles lost 4-2 to Cleveland in their most recent game, while the Royals were defeated 13-4 by the Yankees. This opens a three-game series between the teams. Cash a winning ticket with our free MLB picks.

Baltimore Orioles Preview

The Orioles lost 4-2 to Cleveland in their most recent game and have dropped four of their last five. Baltimore has struggled to maintain consistency during this stretch, particularly in close games, where hitters have failed to drive in runs with runners in scoring position.

Baltimore is hitting .234 with a .321 on-base percentage and .379 slugging percentage, producing 87 runs through 21 games. Taylor Ward leads the team with a .388 on-base percentage, while Gunnar Henderson has added seven home runs and 15 RBI. Jeremiah Jackson is also contributing with 17 RBI and a .302 average, giving the Orioles multiple productive hitters. On the mound, Baltimore has a 3.84 ERA and 1.32 WHIP while allowing a .245 opponent average, though 72 walks have created added pressure in key situations.

Injuries: Hans Crouse, 7-Day IL, Andrew Kittredge, 15-Day IL, Tyler O’Neill, 7-Day IL, Keegan Akin, 10-Day IL, Adley Rutschman, 10-Day IL

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Kansas City Royals Preview

The Royals were defeated 13-4 by the Yankees in their most recent game and have now lost six straight. Kansas City has struggled on the mound and at the plate during this stretch, often falling behind early and being unable to recover.

Kansas City is hitting .219 with a .298 on-base percentage and .342 slugging percentage, producing 71 runs this season. Maikel Garcia is hitting .268, while Bobby Witt Jr. has a .266 average and a .344 on-base percentage. Carter Jensen leads the team with five home runs and 12 RBI. The Royals have a 4.47 ERA and 1.36 WHIP while allowing a .238 opponent average, and 86 walks have contributed to extended innings and scoring opportunities for opponents.

Injuries: Bailey Falter, 15-Day IL, Stephen Kolek, 15-Day IL, Carlos Estevez, 15-Day IL, James McArthur, 15-Day IL, Tyson Guerrero, 60-Day IL

Pitching Matchup

Baltimore Orioles – Kyle Bradish

Bradish is 1-2 with a 5.49 ERA and 1.63 WHIP over 19.2 innings. He has allowed 22 hits with 21 strikeouts and has struggled to limit baserunners.

Kansas City Royals – Seth Lugo

Lugo is 1-1 with a 1.48 ERA and 0.99 WHIP across 24.1 innings. He has allowed just 18 hits and has consistently limited baserunners and runs scored.

Baltimore Orioles vs Kansas City Royals Prediction

Kansas City has struggled overall, but the starting pitching advantage is significant in this matchup. Lugo has been effective at limiting runs, while Bradish has allowed consistent runners on base. Even with Baltimore’s stronger lineup, the pitching edge gives Kansas City a way to control the game early and hand it over to the bullpen late. Lugo will continue his current form, the Royals will slow the Orioles offense, and take advantage of scoring opportunities. Final Score Prediction: Kansas City Royals win 4-3.