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During his career, Sabathia was named an All-Star six times and won the Warren Spahn Award three times. In August 2017, Sabathia became the all-time American League leader in strikeouts by a left-handed pitcher. At the time of his retirement in 2019, he led all active Major League players in career wins, career innings pitched, and career strikeouts. On April 30, 2019, he became the seventeenth pitcher in MLB history to reach 3,000 strikeouts and the third left-hander to do so (joining Randy Johnson and Steve Carlton).

Sabathia began the 2019 season on the 10-day injured list as he continued to recover from heart surgery. He made his 2019 major league debut on April 13, pitching five innings of one-hit baseball in a 4–0 victory over the Chicago White Sox. On April 30, 2019, he recorded his 3,000th strikeout against John Ryan Murphy of the Arizona Diamondbacks, becoming only the third left-handed pitcher to record 3,000 strikeouts. Sabathia was placed on the 10-day injured list on May 23 due to right knee inflammation. He received a cortisone shot to treat the pain, and was informed that he would need knee replacement surgery after his baseball career ended. On June 19, he recorded his 250th career win in a 12–1 win over the Tampa Bay Rays. Sabathia pitched six innings, struck out seven, and surrendered one run. Sabathia accepted an invitation to appear in the 2019 MLB All Star Game in Cleveland to throw the ceremonial first pitch; during the game, he made a mound visit to Yankees closer Aroldis Chapman. On July 28, Sabathia again went on the 10-day injured list due to the same knee injury. On August 31, Sabathia was placed on the 10-day injured list for the third time in 2019. On September 18, he made his last Yankee Stadium regular-season pitching appearance, receiving a standing ovation from the home crowd. He finished the season with a 5–8 record and a 4.95 earned run average in 23 games. During his Yankees tenure, he had a 134–88 record and a 3.80 earned run average.

Sabathia was not named to the Yankees' 25-man roster for the 2019 American League Division Series against the Minnesota Twins. However, he was later activated on the Yankees' roster for the 2019 American League Championship Series against the Houston Astros, as a reliever. Sabathia pitched in the eighth inning of Game 4 of the American League Championship Series. He threw 20 pitches, retired two batters with a line-out, hit batsman, and flyout, but could not finish the inning due to discomfort. The Yankees removed Sabathia from their roster the next day with a subluxated left shoulder, and replaced him with Ben Heller. This move rendered Sabathia ineligible to pitch in the World Series had the Yankees advanced. Sabathia told the media that his exit from the game in his announced final season was "kind of fitting. I threw until I couldn't anymore."

On October 21, 2019, Sabathia officially announced his retirement from baseball with the following Twitter message: "It all started in Vallejo, CA, in my grandma's backyard throwing grapefruits at a folding chair. I could have never imagined how much this game has meant to me since. Through the ups and downs, baseball has always been my home. From Cleveland, to Milwaukee, New York, and everywhere in between, I'm so thankful to have experienced this journey with every teammate past and present. All I ever wanted was to be a great teammate and win. I'm so proud of this year's team, we fought ‘til the end. Love you guys! I'm going to miss going out there on the mound and competing, but it's time to say farewell. Thank you, Baseball."

Sabathia re-signed with the Yankees on a one-year contract for $10 million for the 2018 season. On June 12, 2018, Sabathia recorded his 1,500th strikeout as a Yankee in a 3–0 win over the Washington Nationals, joining Andy Pettitte, Whitey Ford, Ron Guidry and Red Ruffing on the list of pitchers with 1,500 strikeouts as Yankees. On August 13, Sabathia went back on the disabled list due to right knee inflammation. Sabathia was ejected on September 27, 2018 for intentionally hitting Rays catcher Jesús Sucre with a pitch; the Rays' Andrew Kittredge had previously thrown at Yankee Austin Romine's head in retaliation for Sabathia having hit the Rays' Jake Bauers on the arm earlier in the game. Sabathia received a five-game suspension for throwing at Sucre, to be served in 2019. He finished the season with a 9–7 record and a 3.65 ERA.

The Yankees defeated the Oakland Athletics in the 2018 American League Wild Card Game to advance to the 2018 American League Division Series against the rival Boston Red Sox. Sabathia started Game Four of the ALDS and took the loss, giving up three runs in three innings. The Red Sox won the game, 4–3, to defeat the Yankees three games to one. The Red Sox went on to win the 2018 World Series.

On November 7, 2018, Sabathia re-signed with the Yankees on a one-year contract for $8 million. Sabathia was cleared to begin working out in January 2019 following a December 2018 procedure to insert a stent into his heart. On February 16, 2019, he announced that 2019 would be his final season.

In December 2018, after developing shortness of breath and other symptoms, Sabathia underwent a cardiac catheterization and was found to have a blockage of a coronary artery. A stent was placed to open the blockage.

Sabathia experienced a career renaissance in 2017, transitioning successfully from being a pitcher who relied on power and velocity to one who relied on command and pinpoint control. On June 13, Sabathia injured his left hamstring; he was placed on the disabled list. He returned on July 4, starting against the Toronto Blue Jays at Yankee Stadium. On August 1, Sabathia made his 500th career start in a losing effort against the Detroit Tigers. On August 8, he was taken out of a game after the third inning after experiencing pain in his surgically repaired right knee;he later landed on the 10-day disabled list. After returning from the disabled list on August 19, he went 5–0 over his last eight starts as he helped the Yankees clinch a wild card spot. Sabathia finished the 2017 season 14–5 with a 3.69 ERA, 120 strikeouts and a 1.27 WHIP in ​148  ⁄3 innings (27 starts).

In the 2017 playoffs, Sabathia started Games Two and Five of the ALDS against the Cleveland Indians. In Game Two, he gave up two earned runs in ​5  ⁄3 innings of a Yankees loss. In Game Five, he struck out nine in ​4  ⁄3 innings, and the Yankees won, advancing to the ALCS for the first time since 2012. Sabathia started Game Three of the ALCS against the Houston Astros, earning the win after throwing six shutout innings and allowing only three hits. Sabathia also started Game Seven of the ALCS; he took the loss as the Astros defeated the Yankees, 4–0, to win the series in seven games. The Astros went on to win the 2017 World Series.

In August 2017, Sabathia became the all-time American League leader in strikeouts by a left-handed pitcher. As of May 2019, he leads all active Major League players in career wins, career innings pitched and career strikeouts.

In July 2017, Sabathia started the R2C2 podcast with co-host Ryan Ruocco as part of The Players' Tribune. In May of 2018, the podcast moved to the UNINTERRUPTED podcast network.

The 2016 season was a season of improvement for Sabathia. On April 9, 2016, Sabathia picked up the win in his season debut after limiting the Detroit Tigers to three earned runs in six innings. On May 6, Sabathia was placed on the 15-day disabled list due to a left groin strain. On May 20, Sabathia recorded his 100th win as a Yankee in an 8–3 victory over the Oakland Athletics, going six innings, allowing one run and striking out eight. Making 30 starts in 2016, Sabathia finished 9–12 with a 3.91 ERA in ​179  ⁄3 innings (16 quality starts) with 152 strikeouts and a 1.32 WHIP. Sabathia's 2016 improvement was credited, in part, to his continued use of an effective knee brace. On October 11, Sabathia underwent a routine surgery on his right knee. The Yankees did not appear in the 2016 postseason.

In 2015, Sabathia reported to spring training weighing 305 pounds (138 kg), as he believed his decreased weight had contributed to his poor and injury-shortened 2014 season. During a game against the Angels on June 7, 2015, Sabathia recorded his 2,500th career strikeout, becoming the 31st pitcher in MLB history to reach that milestone.

Sabathia went on the disabled list on August 23, 2015 with right knee soreness. He had a 4–9 record with a 5.27 ERA in 24 games started to that point. He returned to the Yankees on September 9 wearing a knee brace. He pitched to a 2.17 ERA in five starts after returning, including winning the game that clinched the Yankees a playoff berth in the 2015 American League Wild Card Game. However, he missed that game after checking himself into an alcohol rehabilitation facility; the Yankees would go on to lose to the Houston Astros. Sabathia finished the season with a 6–10 record in 29 starts with a 4.73 ERA in ​167  ⁄3 innings.

On October 5, 2015, Sabathia announced that he was checking himself into an alcohol treatment center. During the previous weekend, Sabathia had been binge drinking in the hotel while the Yankees were on the road in Baltimore; he had also been drinking in the clubhouse after a game that had been cancelled due to rain. "'I love baseball and I love my teammates like brothers,' said Sabathia in a statement, 'and I am also fully aware that I am leaving at a time when we should all be coming together for one last push toward the World Series. It hurts me deeply to do this now, but I owe it to myself and to my family to get myself right. I want to take control of my disease, and I want to be a better man, father and player.'" In March 2016, Sabathia opened up about his battle with alcoholism in an essay for The Players’ Tribune.

Sabathia's reputation of pitching a high number of effective innings each season has led to sports broadcasters often referring to him as a workhorse; discounting his injury-shortened 2014 campaign Sabathia has averaged over 200 innings a season in his career (he has reached the benchmark eight times, including seven consecutive seasons of at least 200 innings pitched from 2007 to 2013).

Sabathia was born in Vallejo, California and attended Vallejo High School, where he excelled in baseball, basketball, and football. As a teenager, Sabathia played summer baseball in the Major League Baseball youth program, Reviving Baseball in Inner Cities (RBI). In baseball, he compiled a win–loss record of 6–0 with an 0.77 earned run average (ERA) and 82 strikeouts in ​45  ⁄3 innings pitched during his senior season. He was the top high school prospect in Northern California according to Baseball America. In football, he was an all-conference tight end. He received scholarship offers to play college football, including one from UCLA; he signed a letter of intent to attend the University of Hawaiʻi and play baseball and football. Sabathia graduated from Vallejo High School in 1998 and went directly from high school to minor league baseball.

For the season, Sabathia was 17–10 overall (11–2 with Milwaukee) with a 2.70 ERA and struck out 251 batters. Sabathia was sixth in the voting for the 2008 NL MVP award. He was also awarded the Warren Spahn Award for the second year in a row.

In 2013, Sabathia made his eighth consecutive Opening Day start (and fifth for the Yankees) on April 1 in an 8–2 loss against the Boston Red Sox. On July 3, Sabathia collected his 200th career win against the Minnesota Twins. His season ended early due to a strained hamstring. He finished with a 14–13 record and a then-career-worst 4.78 ERA in 32 starts.

Sabathia lost 40 pounds (18 kg) in 2013 and arrived at spring training in 2014 weighing 275 pounds (125 kg). He admitted to crash dieting after a cousin of his died of heart disease in December 2012. His season was plagued by right knee difficulties. On July 16, it was announced that his season had ended. In only eight starts, Sabathia went 3–4 with a 5.28 ERA. He underwent knee surgery on July 23.

Sabathia began the 2012 season poorly, allowing a grand slam by Carlos Peña in his first inning of work on opening day against the Tampa Bay Rays. He recovered, however, going 9–3 with a 3.55 ERA in his first 16 starts. He threw a complete game against the Atlanta Braves on June 18, allowing two runs and one walk while striking out ten. It was Sabathia's 34th career complete game and eighth as a Yankee. Sabathia was named an All-Star for the third season in a row and sixth time in his career; however, he was unable to participate as he was placed on the disabled list on June 27 with a strained abductor muscle. Sabathia was placed on the disabled list again on August 11 with soreness in his left elbow, but returned on August 24 against the Cleveland Indians. Sabathia finished the 2012 season with a 15–6 record and a 3.38 ERA. The Yankees won the AL East for the third time in four years with a 95–67 record, the best in the American League.

In the 2012 American League Division Series, Sabathia dominated, winning both the first and fifth (deciding) games against the Baltimore Orioles. After throwing ​8  ⁄3 innings and giving up just two earned runs in a win at Camden Yards in Game 1, Sabathia threw his first career postseason complete game in Game 5, allowing one run, four hits, two walks and striking out nine as the Yankees defeated the Orioles in five games. However, Sabathia lost Game Four of the 2012 ALCS, allowing six runs (five earned) in ​3  ⁄3 innings to the Detroit Tigers, as the Yankees, who had already lost Derek Jeter for the rest of the postseason in Game 1 due to a fractured ankle, were swept in four games. On October 25, 2012, Sabathia underwent arthroscopic surgery in his left elbow to remove a bone spur.

In 2011, Sabathia was the opening day starter for the Yankees for the third year in a row. Sabathia was named to his fifth career All-Star game, replacing James Shields on the roster; however, he elected to pitch the Sunday before the All-Star game and his spot on the active roster was given to Alexi Ogando. He became the first Yankee pitcher to have 13 wins by the All-Star break since Andy Pettitte in 1996. On July 26, 2011, Sabathia took a perfect game through ​6  ⁄3 innings against the Seattle Mariners, retiring the first 19 batters he faced in a game interrupted twice due to rain. He ended up striking out 14 batters through seven innings (setting a career high), and pitching a combined one-hitter. For his performance in July 2011, Sabathia was named the AL Pitcher of the Month. Sabathia recorded his 2,000th career strikeout on September 10, 2011 against Torii Hunter of the Los Angeles Angels of Anaheim.

Across 33 starts in 2011, Sabathia had a 19–8 record and a 3.00 ERA. His 230 strikeouts marked the third-highest number of strikeouts in a single season in franchise history, the most since Ron Guidry's franchise record 248 strikeouts in 1978, and the second-most in the American League behind Justin Verlander's 250 strikeouts. Sabathia also became the first Yankee pitcher to strike out more than 200 batters in a single season since Randy Johnson in 2005, as well as the first Yankee pitcher to finish in the top two in the American League in strikeouts since Johnson did so that same year. The Yankees won the AL East once again with a 97–65 record, however, Sabathia struggled in the ALDS, posting a 6.23 ERA in ​8  ⁄3 innings in three appearances (two starts) as the Yankees were defeated by the Detroit Tigers in five games. Sabathia once again finished fourth in the AL Cy Young voting.

Though his contract with the Yankees allowed him to opt out and become a free agent after the 2011 season, Sabathia said he had no intention of opting out of his contract. On October 31, 2011, Sabathia announced that he had signed a contract extension with the Yankees. The contract extension added one season (2016) to Sabathia's contract and called for him to be paid $25 million that season. In addition, the extension provided for a vesting option in which Sabathia would be paid $25 million for the 2017 season unless the Yankees exercised a $5 million buyout due to issues with Sabathia's left shoulder. Sabathia finished fourth in the Cy Young voting following the 2011 season.

On July 4, 2010, Sabathia earned his fourth All-Star selection, and his first as a Yankee. At the time of the All-Star break, Sabathia was 12–3 with a 3.09 ERA in 131 innings (19 starts). On August 22, Sabathia recorded his 16th consecutive start of at least six innings allowing three earned runs or less, breaking a tie with Ron Guidry (from his Cy Young Award-winning 1978 season) for the longest streak in franchise history. His streak was snapped in his next start on August 28, where he allowed five earned runs in seven innings to the Chicago White Sox. The 2010 season was the first in Sabathia's career in which he won 20 games. He ended the season with a 21–7 record and a 3.18 ERA, leading the major leagues in wins. The Yankees won the AL Wild Card after finishing second in the AL East to the Tampa Bay Rays with a 95–67 record. Despite posting a 2–0 record in three playoff starts that year, Sabathia posted a 5.63 ERA across 16 innings as the Yankees were defeated in the ALCS by the Texas Rangers in six games. He finished third in the AL Cy Young Award voting behind Félix Hernández and David Price.

Sabathia earned his first career postseason victory with the Yankees in the first game of the 2009 ALDS against the Minnesota Twins. He gave up two runs (one earned) in ​6  ⁄3 innings with eight strikeouts as the Yankees swept the series in three games. Sabathia also won the American League Championship Series (ALCS) Most Valuable Player Award; in two starts against the Los Angeles Angels of Anaheim, he went 2–0 with a 1.13 ERA in 16 innings. The Yankees beat the Angels in six games to advance to their first World Series since 2003.

In the 2008 offseason, Sabathia signed with the New York Yankees for seven years and $161 million; at the time, this was the largest contract ever signed by a pitcher. With the Yankees, Sabathia led all of Major League Baseball in wins in both 2009 and 2010 and won a World Series ring in 2009. He was also voted the 2009 American League Championship Series Most Valuable Player. After mid-career struggles attributed to lost fastball velocity, chronic knee injuries, and alcoholism, Sabathia again found success in the late 2010s after reinventing himself as a control pitcher. In February 2019, he announced that 2019 would be his final season as a professional baseball player.

Sabathia began the 2008 season 6–8 with a 3.83 ERA in 18 starts. With the Indians out of playoff contention, and with Sabathia an impending free agent, the Indians traded him.

On July 30, 2008, Sabathia took out a large $12,870 ad in the sports section of Cleveland's daily newspaper, The Plain Dealer. The ad, signed by Sabathia, his wife Amber, and his family read:

On July 7, 2008, Sabathia was traded to the Milwaukee Brewers for Matt LaPorta, Michael Brantley, Zach Jackson and Rob Bryson. During his press conference, Sabathia made it known to the assembled members of the media that he would prefer his name to be spelled "CC" rather than "C.C."

On September 28, 2008, Sabathia pitched a complete-game four-hitter against the Cubs in the final game of the regular season; the Brewers won, 3–1, and clinching the wild card when the New York Mets lost later that evening. The team's 2008 postseason appearance was its first since 1982. Sabathia started Game Two of the NLDS against the Philadelphia Phillies; it was his fourth consecutive start in which he pitched on three days' rest. Sabathia surrendered five runs in 3​⁄3 innings, walking pitcher Brett Myers and giving up a grand slam to Shane Victorino. The Phillies would go on to win the World Series.

On December 18, 2008, Sabathia signed a seven-year, $161 million contract with the New York Yankees. It was the largest contract for a pitcher in MLB history at the time. On March 26, 2009, manager Joe Girardi announced that Sabathia would be the Opening Day starter and the starter for the home opener at the new Yankee Stadium. Sabathia finished the season 19–8 with a 3.37 ERA and 197 strikeouts in 230 innings. His 19 wins were tied for the most in the major leagues that year. He was also awarded the August 2009 AL Pitcher of the Month Award, posting a 5–0 record in 6 starts with a 2.64 ERA and 49 strikeouts in ​44  ⁄3 innings. The Yankees finished the regular season with a 103–59 record, the best in the Major Leagues.

As a hitter, Sabathia acquired 25 hits in 121 at-bats (127 plate appearances). On June 21, 2008, Sabathia hit a 440-foot home run off of Los Angeles Dodgers pitcher Chan Ho Park. On July 13, 2008, in his second game with the Brewers, Sabathia hit his second home run of the season off Cincinnati Reds pitcher Homer Bailey, becoming the third pitcher in history to homer in both leagues in the same season and the first since Earl Wilson did it in 1970 with Detroit and San Diego.

Sabathia "burst onto the national scene" in 2007, "when he won the AL Cy Young after recording a 19–7 record, a 3.21 ERA and a league-leading 241 innings pitched". He collected his 1,000th career strikeout on May 21, 2007, fanning the player who beat him out for Rookie of the Year honors: Ichiro Suzuki of the Seattle Mariners. He was also named to the American League All-Star team for the third time. On September 28, he became the youngest pitcher to record 100 career wins since Greg Maddux in 1993. On October 23, Sabathia won the Players Choice Award for Outstanding AL Pitcher. His pitching performance led Cleveland to its first American League Central Division Championship since 2001, his rookie season. For his performance, he won the 2007 American League Cy Young Award, joining Gaylord Perry as one of only two Cleveland Indians pitchers to ever win it. (Cliff Lee and Corey Kluber have since also won, with Kluber winning twice.) Sabathia also won the Warren Spahn Award given to the best left-handed pitcher in the Majors. Despite his strong regular season, Sabathia did not perform well against the Boston Red Sox in the American League Championship Series. In two starts, he went 0–2 with a 10.45 ERA.

In 2006, Sabathia led the major leagues with six complete games. He also led the AL in shutouts (2) and was third in ERA (3.22) and eighth in strikeouts (172).

The Indians picked up their $7 million club option for 2006 on April 27, 2005 and Sabathia signed a two-year, $17.75 million deal. In 2005, he was fourth in the AL in strikeouts/9 IP (7.37), seventh in strikeouts (161) and eighth in wins (15). He threw the fastest fastball in the AL in 2005, averaging 94.7 miles per hour.

Sabathia and his wife, Amber, have four children: a son Carsten Charles III (born 2003), a daughter Jaeden Arie (born 2005), a daughter, Cyia (born 2008), and a son Carter (born 2010). The family lived in Fairfield, California outside his hometown of Vallejo, California near San Francisco until he signed with the Yankees. Then the family moved to Alpine, New Jersey. Nevertheless, Sabathia remains connected to his hometown. In January 2012, Vallejo High School honored Sabathia by declaring "CC Sabathia Day" and renaming the school's baseball field in his honor; Sabathia's PitCCh In Foundation had helped to renovate the field. The PitCCh In Foundation is a charity that supports inner city children. In 2014, the foundation supported a team of runners in the 2014 New York City Marathon.

On February 23, 2002, Sabathia signed a four-year, $9.5 million contract with the Indians that contained a club option for 2006. In the 2002 season, he was tenth in the AL in strikeouts, with 149 in 210 innings. In 2003, he had the tenth-best ERA in the AL (3.60). He was also named to the American League All-Star team for the first time. Sabathia made his second All-Star selection in a row as he finished the 2004 season by going 11–10 with a 4.12 ERA and 139 strikeouts.

Sabathia made his major league debut with the Indians in 2001 and placed second in the 2001 AL Rookie of the Year voting behind 2001 AL MVP Ichiro Suzuki. Sabathia played the first seven-and-a-half seasons of his career with the Indians, with whom he won the 2007 Cy Young Award. He led the Indians to the 2007 AL Central Division title and their first postseason berth since his rookie year. Following a trade, Sabathia played the second half of the 2008 MLB season with the Milwaukee Brewers, helping them make the playoffs for the first time in 26 years.

In 2001, at age 20, Sabathia began his rookie season as the youngest player in the Major Leagues. He ended the season with a 17–5 record, finishing second in the AL voting for Rookie of the Year behind future Yankees teammate Ichiro Suzuki. Sabathia also made his first postseason appearance in 2001.

In 2000, Sabathia was selected for the 28-man United States Olympic Team roster. He appeared in one pre-Olympic tournament game in Sydney, Australia, but was not on the official 24-man, Gold Medal-winning roster because he was called up by the Cleveland Indians. He was named the Indians' 2000 Minor League Player of the Year (receiving the "Lou Boudreau Award").

The Cleveland Indians selected Sabathia in the first round, with the 20th overall selection, of the 1998 MLB draft. He signed for a $1.3 million signing bonus and pitched in the Indians' minor league system for three seasons.

Carsten Charles Sabathia Jr. (born July 21, 1980) is an American former professional baseball pitcher who played 19 seasons in Major League Baseball (MLB) for the Cleveland Indians, Milwaukee Brewers, and the New York Yankees. Sabathia batted and threw left-handed.