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On February 24, 2018, Siegrist signed a minor league contract with the Pittsburgh Pirates. He was assigned to AAA Indianapolis Indians for the 2018 season but refused to report and was placed on the restricted list. He was released on October 2, 2018.

Continuing in the role as a setup reliever in 2016, Siegrist went on the DL on June 30 due to mononucleosis. To that point, he was tied for first in victories among NL relievers at 5−2. Further, in 35 appearances, he posted a 2.78 ERA and one save and 34 strikeouts in ​32  ⁄3 IP. He returned from the DL on July 15. Siegrist suffered through a variety of injuries in 2017. On August 31, 2017, Siegrist was designated for assignment.

The Philadelphia Phillies claimed Siegrist off waivers on September 2, 2017. He made his Phillies debut on September 4.

Three primary pitches compose Siegrist's arsenal. He throws a fastball, circle changeup and a slider. According to Brooks Baseball, throws over 90 miles per hour (140 km/h) with his fastball, generating a high number of swings and misses. All three of his pitches result in high numbers of fly balls and his breaking balls are deceptive to hitters. He also mixes in a curveball, but this is rare as he had thrown it just five times through July in the 2015 season.

After suffering a forearm injury early in 2014, his BAA increased to .267. He was far less effective, allowing 23 earned runs in ​30  ⁄3 IP − he had allowed just two runs in all of 2013. His ERA was 6.82, and he also allowed 32 hits and 16 walks. In 2015, Siegrist became the primary setup man for closer Trevor Rosenthal. He started off with much dramatically improved results, due in part to restored fastball velocity. He also increased his pitch efficiency, which started at 17.12 in 2013 and increased to 19.2 in 2014. In July 2015, he averaged 16 per inning. He also began varying his pitches more that season, relying much less on the fastball, and more on a changeup and slider.

After spending a significant amount of time as a starting pitcher, Siegrist converted to relief full-time for 2013. In May, he earned recognition as the Cardinals Pitcher of the Month. He made his MLB debut the next month after spending five years in the minor leagues. For his rookie year, Siegrist posted a 0.45 earned run average (ERA) in ​39  ⁄3 innings pitched (IP), striking out 50.

Siegrist started 2013 again with the Springfield Cardinals but the organization began to take a different strategy. Instead of grooming him to be a starter, the Cardinals predicted he would have a velocity increase as a full-time reliever, and as a left-hander, could serve as a valuable late-inning strategic piece. He quickly moved up to the Triple-A Memphis Redbirds of the Pacific Coast League, where he spent just ​7  ⁄3 IP after four years between the Rookie and A levels. Siegrist was named the Cardinals Minor League Pitcher of the Month in May. He posted an ERA of 1.95 and a record of 2–1 in 18 relief appearances combined at Springfield and Memphis. In ​27  ⁄3 IP, he allowed just 11 hits with 10 bases on balls (BB) for a walks plus hits per inning pitched ratio (WHIP) of 0.759. In addition, he registered 44 SO for a ratio of 14.3 strikeouts per 9 innings pitched (K/9).

The Cardinals promoted Siegrist from Memphis to the major leagues on June 6, 2013. He made his major league debut the same night as he took the mound in the 7th inning in relief of Shelby Miller in a game against the Arizona Diamondbacks at Busch Stadium. Siegrist struck out four while allowing one hit in one and two-thirds inning of work. As of his debut, 51 players from the 2008 MLB Draft had been on a major league roster, or 3.4%. Siegrist had also been just one of eight drafted in the 40th round or later that on a major league roster.

Another year, another split season as Siegrist spent 2012 with Palm Beach before advancing to the Double-A Springfield Cardinals. A combined 7–2 record between the two teams, including 6–0 with Palm Beach, and 68 strikeouts over 87 IP caught the attention of officials with main club as the St. Louis Cardinals added Siegrist to their 40-man roster after the 2012 season.

Siegrist again split time among two Cardinals minor league teams in 2011. He began the season in the Class A Midwest League with the Quad Cities River Bandits starting nine games, winning eight of them, and posting a low 1.15 ERA. He was the Topps' Midwest League Player of Month in May. Siegrist fared less well after promotion to the Palm Beach Cardinals back near his Florida home, going 0–3 in eleven games as his ERA jumped to 3.42. However, he did log the most innings pitched, 107, of any point yet in his career. Persistent injuries, consisting of back pain and shoulder soreness, in part, slowed his progress.

The Cardinals selected Siegrist in the 41st round of the 2008 MLB draft as the 1,235th player taken out of 1,504 total. He spent the summer playing for the Gulf Coast League Cardinals. In 2009, he pitched for the Batavia Muckdogs, then a Cardinals affiliate in the New York–Penn League. He appeared in ten games for Batavia, making one start and earning a victory while posting an overall season 3.86 ERA. The next season, 2010, was split between Batavia and the Johnson City Cardinals. Siegrist made a combined 14 starts between the two teams, finishing with a season ERA of 4.02 and a 4–4 overall record.

Kevin Ryan Siegrist (born July 20, 1989) is an American professional baseball pitcher who is currently a free agent. He was drafted by the St. Louis Cardinals in 2008 from Palm Beach State College in Lake Worth, Florida.