The Royals jumped ahead early as Bergesen led off the inning giving up the free pass to Billy Butler. Jeff Francoeur singled and Wilson Betemit doubled off the wall to bring in Butler. Mike Aviles popped a double off Bergesen's leg, ricocheting the ball to left field, driving in Francoeur.
The Birds came back in the top of the fourth as Derrek Lee started the inning off with a single but was thrown out trying to stretch it into a double. Vladimir Guerrero and Adam Jones both singled to put runners on first and second when Luck Scott went deep to right field to tie the game up. That moved Scott into the team lead with six homers. He had no home runs over the first eight games but has gotten six over the past 14.
The O's came right back in the sixth. Guerrero, who went 115 plate appearances without walking, got his first of the season to lead off the inning and Reynolds followed with another walk. Jones continued his tear at the plate, blooping a single in front of the Kansas City right fielder to drive in Guerrero. Matt Wieters kept his numbers going, reaching 10-for-13 with runners in scoring position with a sacrifice fly to score Reynolds.
Francoeur began the sixth with a solo shot to tie up the game once again.
Bergesen lasted five innings, giving up four runs on—three earned—on six hits. He struck out two and only gave up one walk. Jeremy Accardo took over in the sixth and gave up a run on one hit. Mike Gonzalez came on in the seventh to retire the side in order. Koji Uehara came out of the pen in the eighth, getting the three up, three down inning with two strikeouts. Jason Berken took the bottom of the ninth, getting into trouble by allowing two hits but got out of it to send the game to extra innings.
He stayed on in the tenth, giving up the winning run on a sacrifice fly. Alex Gordon drew a leadoff walk and got around to third on a single up the middle by Butler. Francoeur hit a fly ball to right field and Gordon tagged up to win the game.
Francis allowed five runs on six hits over 5.2 innings of work. He walked four and struck out four. Blake Wood came out of the pen to finish the sixth, facing one batter, and stayed on in the seventh, giving up only one hit. Aaron Crow took the eighth inning, stranding one runner on base. Closer Joakim Soria retired the Orioles in order in the ninth. Jeremy Jeffress pitched two-thirds of the tenth before Tim Collins came on to get the last out.
Lee, Jones, and Scott continued to put up the number at the plate with both of them having a multi-hit game again tonight. Lee went 2-for-4 with two singles while Jones went 3-for-4 with a walk and an RBI. Scott hit the long ball in his 2-for-4 night.