 He made 20 starts for the Royals in 2011, striking out 119 batters over 124 2/3 innings of work, posting a season record of 4–6 with a 4.11 ERA.Paulio started the 2012 season on the disabled list with right elbow strain, but after missing the first 6 games he came back to post a 3–1 with a 1.67 ERA over seven starts.It was during the seventh start that Paulino experienced major elbow problems, and was placed back on the disabled list on June 9.