Players for the annual MLB All Star Game are chosen by fan vote; but those players do not always chose to participate in the game due to injury or sometimes just needing a break to rest for a few days.

It was previously announced that Bryce Harper would not play due to a hand injury. 

Houston Astros second baseman Jose Altuve, San Francisco Giants pitcher Carlos Rodon, St. Louis Cardinals third baseman Nolan Arenado, Los Angeles Angles outfielder Mike Trout, and Miami Marlins second baseman Jazz Chisholm Jr are also opting out of the All Star classic on Tuesday.

Eight time All Star Jose Altuve was injured last Thursday night when he was struck on the knee.

Nolan Arenado has been dealing with a back issue over the past few weeks and is taking advantage of the time off to rest.

Los Angeles Dodgers pitcher Carlos Rodon is not participating in the All Star game due to a blister issue.

Jazz Chisholm Jr has been on the injured list since late last month.

Mike Trout is dealing with back spasms.

Justin Verlander of the Houston Astros, Gerrit Cole of the New York Yankees, and Max Fried of the Atlanta Braves are all out of the annual All Star game after making a start in the games on Sunday.  Milwaukee Brewers pitcher Corbin Burnes and New York Mets outfielder Starling Marte also dropped out of the All Star game on Sunday.

Toronto Blue Jays Santiago Espinal, Freddie Freeman, Ty France, Liam Hendriks, Jordan Romano, and Devin Williams have all been chosen as replacements for the players who have dropped out of the game.