Cincinnati Reds star Hunter Greene delivered his seventh pitch of his start against the Pittsburgh Pirates, a 95-mile-per-hour fastball. As part of his motion to compose himself back on the rubber, Greene vomited all over the mound.

Greene looked dazed immediately after he finished throwing up, but took several steps to behind the mound, where teammates and Reds manager David Bell met to check on him.

The hard-throwing right-hander was evaluated by a team doctor and stayed in the game despite the puke.

The hurl was on the first pitch to the second batter he faced, Bryan Reynolds. Five pitches later to end the at-bat, Reynolds took Greene deep to right field to put the Pirates up 2-0.

Greene ended up being the losing pitcher of the game, giving up six earned runs and seven hits in four innings on the mound. Pittsburgh defeated Cincinnati 9-5.

Hunter Greene bent over and puked early during his start Tuesday night against the Pirates

Greene is an impressive pitcher for the Reds, but now concerns about his health have risen

It is the second straight start where Greene has puked on the mound, with him blaming it on the weather after last week’s start against the Pirates.

Temperatures were in the high 80s in Cincinnati last night, and it will continue to be warm for several of Greene’s next starts.

The Reds are 9.5 games behind the Milwaukee Brewers for first place in the National League Central, while only sitting 3.5 games out of the second Wild Card spot with a logjam of teams in front of them for playoff contention.

Greene puking in consecutive starts should raise eyebrows for the Reds and Major League Baseball.

Greene has built a reputation as a hurler, more so meaning that he can throw the ball fast for an extended period of time, drawing comparisons to Pirates rookie Paul Skenes.

Now, maybe Greene’s reputation as a hurler will have a double meaning with his upchuck in two straight games against Pittsburgh.