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On 12 July 2019, Ansarifard made the move to Al-Sailiya in the Qatar Stars League.

On 3 November 2018, it was announced that Ansarifard had signed for Nottingham Forest in the Sky Bet Championship after delays obtaining a work permit. The Iranian international penned a one-and-a-half-year contract at the City Ground. He made his debut for the club coming on as a substitute in a 1–0 win over Sheffield United on 3 November. Ansarifard scored his first goal in a 3-0 win at home to Hull, also assisting the first goal.

On 13 January 2017, Ansarifard signed a 3.5-year contract with Greek giants Olympiacos for a transfer fee of €400,000, Panionios held a 10% sell-on clause. He was assigned the number 17. On 24 January 2017, he made his first appearance for the club in a Greek Cup 1–1 away draw against Aris Thessaloniki, scoring his first goal to equalise the game.

Ansarifard made his league debut on 11 February 2017 in a 2–0 win against AEL, coming on as a late second-half substitute. On 23 February 2017, Karim scored a brace in his second Europa League game against Osmanlispor. With Karim's goals Olympiacos advanced to the Round of 16 for the first time since 2012. Karim won the UEFA Europa League Player of the week due to his performance against Osmanlispor.

Ansarifard scored his first league goal for Olympiacos on 12 March 2017 in a 2–0 victory against Atromitos. On 19 August 2017, on the first match day of the Greece Super League Ansarifard scored and assisted a goal in his team's 4–1 victory. After helping the Greek giants to a league title, he was unexpectedly left off the UEFA Champions League squad by new manager Besnik Hasi, who put the forward up for sale. On 14 October 2017, he scored a brace against his old club, in an Olympiakos 4–3 away win. On 2 December 2017, he scored a brace sealing a 3-1 home win against Apollon Smyrni. On 9 December 2017, he bagged a goal and giving an assist to Kostas Fortounis for his second goal in the game, in a glorious 4–1 away Superleague win against Panetolikos. On 24 December 2017, Ansarifard's exceptional performance with Olympiacos sparked what has arguably become the best year of his career. The Albanian manager was fired in late September for poor results and Ansarifard has been able to work himself back into the starting lineup, becoming the league's top scorer thus far with seven goals from 11 matches, being the 6th best Asian player in Europe for the season according to Football Tribe Asia. On 7 January 2018, he scored in a 3–0 away win game against AEL, helping his club to achieve the 7th successive win in his rally to gain the 8th consecutive title. On 15 January 2018, he scored after an assist from Guillaume Gillet sealing a 2-0 home win game against Lamia. On 21 January 2018, Ansarifard was on target in the 26th and 57th minutes for Oscar Garcia’s Superleague leaders, chalked up their ninth win in a row with a straightforward 3-0 home victory over 10-man Xanthi at the Georgios Karaiskakis stadium. It was named MVP of the game. On 28 January 2018, equalised a 1-1 away game against Asteras Tripoli with a penalty kick, when Asteras’ former Panathinaikos defender Kostas Triantafyllopoulos brought him down in the box. On 4 February 2018, he opened the score in a frustrating 2-1 home loss against rivals AEK Athens stayed behind in the rally for the 2017-18 title. On 31 March 2018, he scored with a cool finish from an exquisite Leonardo Koutris pass in a 1-1 away draw against Levadiakos. On 16 April 2018, opened the score in an emphatic 5-1 home win against Kerkyra. On 29 April he scored a brace in a 4-0 home win game against Panetolikos F.C., struggling with PAOK's forward Aleksandar Prijović for the title of top scorer. Ansarifard's contract was cancelled by Olympiakos after their 2017–18 season.

In May 2016, Ansarifard, whose contract was due to run out at the end of next season, was offered to PAOK Thessaloniki but the 26-year old international was not on top of Eagles' shortlist at the time. He started the 2016–17 season as the indisputable leader of club's offence. On 10 September 2016, he scored his first goal for the season in a triumphant 3–0 home win against rivals Asteras Tripoli.

In the summer of 2015, Ansarifard signed with Panionios in the Superleague Greece. He scored his first goal for the club in a 5–1 win over Panetolikos on 3 October 2015. Ansarifard scored the winning goal on 7 November 2015 in a match against Platanias. On 28 November 2015, Karim Ansarifard scored a brace and helped Panionios win against PAS Giannina 2–0. His solo goal in April 2016 during matchday 28 in a victory against PAOK earned him goal of the week honours.

On 29 August 2014, Ansarifard signed a two-year deal with Segunda División's CA Osasuna. He made his league debut on 4 October 2014, coming on as a substitute for Roberto Torres in the 61st minute against Racing de Santander. He made his first start on 18 October in a 3–2 win against CD Tenerife.

After Persepolis listed him in the out of the squad, he decided to play another season in Iran and joined Tractor. He signed a one-year contract with the option of a transfer to the European leagues in the case of bids. He made his debut on 1 August 2013 in a 1–1 draw in Tabriz derby over Gostaresh Foolad. He won Hazfi Cup title with Tractor and was named as the tournament's Most Valuable Player. Ansarifard scored seventeen goals for Tabriz's reds during his spell at the team, fourteen goals was in the league, making him the season's top scorer for the second time in his professional career. In July 2014 Ansarifard was released by Tractor and was allowed to sign with a European club.

World Soccer selected Ansarifard as one of the best young talents in the world alongside Javier Hernández and Jack Wilshere. In January 2012, FIFA.com selected him as one of the players to watch in 2012. Goal.com also chose him as one of the hottest 100 young football players in the world. Also in 2012, FIFA ranked him as the 48th best goalscorer in the world and second best in Asia.

There was much speculation during the 2011–12 Iranian Pro League season that Ansarifard would be leaving Saipa. On 17 June 2012 he signed a three-years contract with Persepolis. He was given the number 9 shirt. He scored his first goal in a pre-season match against Aluminium. He made his debut for Persepolis in an official match against Sanat Naft and scored his first goal for Persepolis against Gahar Zagros. He scored his first Hat-trick as a Persepolis player (and second in his career) against Paykan. He scored another hat-trick in the Round of 32 of Hazfi Cup at Malavan. He also scored the Persepolis' first goal in the Hazfi Cup final. His team would go on to lose on penalties. At the start of the season, Ansarifard initially decided to stay at Persepolis despite bids from Sepahan, Tractor and two UAE Pro League sides. However, he fell out with club head coach Ali Daei during pre-season. He was out listed and was eventually transferred to Tractor on 14 July 2013.

During one of Saipa's training camps in Ardabil, Karim's home city, he was taken on a training trial by then-coach Ali Daei and was accepted into the club's youth academy and reserves. In the 2007 season Saipa the Iranian reigning champions encountered problems in scoring after the departure of Mohsen Khalili and retirement of then-coach Ali Daei. After 12 weeks Ali Daei moved Ansarifard to the first team from the reserves and the young starlet answered the coach's faith with good games including the only goal against a strong Sepahan team. Ansarifard scored 13 goals during the 2009–2010 season. After strong performances, Karim became fast one of the best players of Saipa and targeted by European clubs such as Borussia Dortmund and Celtic F.C. later, FC Steaua București made a €200,000 bid for a half season loan. In May 2011, it was suggested that Everton are interested in signing Ansarifard. Despite major interest from European clubs, conscription problems made the prospect of Ansarifard moving to a foreign club unlikely. Ansarifard renewed his contract with Saipa for another two years on 14 July 2011. In the 2011–2012 Iranian Pro League season, Ansarifard scored 21 goals and made 5 assists for Saipa, becoming the league's top scorer.

Karim Ansarifard made his debut against Iceland in November 2009 under Afshin Ghotbi and scored his first international goal and the only goal of the game. He was given the legendary number 10 previously worn by Ali Daei and scored on 15 January 2011 his 3rd international goal against North Korea, so Ansarifard became Iran's youngest ever goalscorer in the AFC Asian Cup. In 2014 FIFA World Cup qualification, Ansarifard scored a double against Maldives at Azadi Stadium. He came on as a late substitute against Uzbekistan in the World Cup Qualifiers and assisted with a beautiful pass for Mohammad Reza Khalatbari as a 94th-minute winner. On 1 June 2014, he was called into Iran's 2014 FIFA World Cup squad by Carlos Queiroz. He played his first World Cup match against Bosnia and Herzegovina, coming on as a substitute for Ashkan Dejagah in the 68th minute. He was called into Iran's 2015 AFC Asian Cup squad on 30 December 2014 by Carlos Queiroz. He provided an assist to Sardar Azmoun in their Asian Cup preparation match against Iraq. In May 2018 he was named in Iran's preliminary squad for the 2018 World Cup in Russia. He scored a penalty against Portugal with a 1-1 as the result.

He was Invited to Iran national under-17 football team in 2005. In 2006 AFC U-17 Championship, he worn number 14 and was a benchwarmer. Ansarifard played as a substitute in two matches against Tajikistan and Yemen.

Karim Ansarifard (Persian: کریم انصاری‌فرد ‎; born 3 April 1990) is an Iranian footballer who plays as a forward for Al-Sailiya and the Iranian national team. His playing style and ability have drawn comparisons to Ali Daei (the coach who scouted him) and he has been named Daei's "successor".