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The epic Champions League rivalry between Real Madrid and Man City

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The epic Champions League rivalry between Real Madrid and Man City
Sport

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The epic Champions League rivalry between Real Madrid and Man City

2025-01-31 23:36 Last Updated At:23:51

MANCHESTER, England (AP) — It’s become a familiar sight in elite European soccer: Real Madrid vs. Manchester City.

The Champions League's most engrossing rivalry in recent years will resume in a two-legged playoff next month to reach the round of 16.

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FILE - Real Madrid's Vinicius Junior vies for the ball with Manchester City's Kyle Walker, left, during the Champions League semifinal second leg soccer match between Manchester City and Real Madrid at Etihad stadium in Manchester, England, Wednesday, May 17, 2023. (AP Photo/Jon Super, File)

FILE - Real Madrid's Vinicius Junior vies for the ball with Manchester City's Kyle Walker, left, during the Champions League semifinal second leg soccer match between Manchester City and Real Madrid at Etihad stadium in Manchester, England, Wednesday, May 17, 2023. (AP Photo/Jon Super, File)

FILE - Manchester City's Rodrigo, right, tries to stop Real Madrid's Karim Benzema during the Champions League semi final, second leg, soccer match between Real Madrid and Manchester City at the Santiago Bernabeu stadium in Madrid, Spain, Wednesday, May 4, 2022. (AP Photo/Bernat Armangue, File)

FILE - Manchester City's Rodrigo, right, tries to stop Real Madrid's Karim Benzema during the Champions League semi final, second leg, soccer match between Real Madrid and Manchester City at the Santiago Bernabeu stadium in Madrid, Spain, Wednesday, May 4, 2022. (AP Photo/Bernat Armangue, File)

FILE - Real Madrid's Rodrygo, third left, scores his side's second goal during the Champions League semi final, second leg, soccer match between Real Madrid and Manchester City at the Santiago Bernabeu stadium in Madrid, Spain, Wednesday, May 4, 2022. (AP Photo/Bernat Armangue, File)

FILE - Real Madrid's Rodrygo, third left, scores his side's second goal during the Champions League semi final, second leg, soccer match between Real Madrid and Manchester City at the Santiago Bernabeu stadium in Madrid, Spain, Wednesday, May 4, 2022. (AP Photo/Bernat Armangue, File)

FILE - Real Madrid's coach Jose Mourinho from Portugal reacts after Cristiano Ronaldo scored the winning goal during a Group D Champions League soccer match against Manchester City at the Santiago Bernabeu stadium in Madrid Tuesday Sept. 18, 2012. Real Madrid beat Manchester City 3-2. (AP Photo/Paul White, File)

FILE - Real Madrid's coach Jose Mourinho from Portugal reacts after Cristiano Ronaldo scored the winning goal during a Group D Champions League soccer match against Manchester City at the Santiago Bernabeu stadium in Madrid Tuesday Sept. 18, 2012. Real Madrid beat Manchester City 3-2. (AP Photo/Paul White, File)

FILE - Real Madrid's head coach Carlo Ancelotti stands by the touchline during the last minutes of the Champions League semifinal second leg soccer match between Manchester City and Real Madrid at Etihad stadium in Manchester, England, Wednesday, May 17, 2023. Manchester City won 4-0. (AP Photo/Jon Super, File)

FILE - Real Madrid's head coach Carlo Ancelotti stands by the touchline during the last minutes of the Champions League semifinal second leg soccer match between Manchester City and Real Madrid at Etihad stadium in Manchester, England, Wednesday, May 17, 2023. Manchester City won 4-0. (AP Photo/Jon Super, File)

FILE - Real Madrid's Cristiano Ronaldo from Portugal, left, celebrates with Pepe from Portugal after scoring a goal against Manchester City during a Champions League Group D soccer match at the Santiago Bernabeu Stadium, in Madrid, Tuesday, Sept. 18, 2012. (AP Photo/Daniel Ochoa De Olza, File)

FILE - Real Madrid's Cristiano Ronaldo from Portugal, left, celebrates with Pepe from Portugal after scoring a goal against Manchester City during a Champions League Group D soccer match at the Santiago Bernabeu Stadium, in Madrid, Tuesday, Sept. 18, 2012. (AP Photo/Daniel Ochoa De Olza, File)

FILE - Manchester City's Bernardo Silva celebrates after scoring his side's second goal during the Champions League semifinal second leg soccer match between Manchester City and Real Madrid at Etihad stadium in Manchester, England, Wednesday, May 17, 2023. (AP Photo/Jon Super, File)

FILE - Manchester City's Bernardo Silva celebrates after scoring his side's second goal during the Champions League semifinal second leg soccer match between Manchester City and Real Madrid at Etihad stadium in Manchester, England, Wednesday, May 17, 2023. (AP Photo/Jon Super, File)

FILE - Real Madrid players celebrate at the end of the Champions League semi final, second leg soccer match between Real Madrid and Manchester City at the Santiago Bernabeu stadium in Madrid, Spain, Wednesday, May 4, 2022. (AP Photo/Manu Fernandez, File)

FILE - Real Madrid players celebrate at the end of the Champions League semi final, second leg soccer match between Real Madrid and Manchester City at the Santiago Bernabeu stadium in Madrid, Spain, Wednesday, May 4, 2022. (AP Photo/Manu Fernandez, File)

FILE - Real Madrid's Karim Benzema gestures during the Champions League semifinal second leg soccer match between Manchester City and Real Madrid at Etihad stadium in Manchester, England, Wednesday, May 17, 2023. (AP Photo/Jon Super, File)

FILE - Real Madrid's Karim Benzema gestures during the Champions League semifinal second leg soccer match between Manchester City and Real Madrid at Etihad stadium in Manchester, England, Wednesday, May 17, 2023. (AP Photo/Jon Super, File)

FILE - Manchester City's head coach Pep Guardiola reacts after Bernardo Silva scored the opening goal during the Champions League semifinal second leg soccer match between Manchester City and Real Madrid at Etihad stadium in Manchester, England, Wednesday, May 17, 2023. (AP Photo/Jon Super, File)

FILE - Manchester City's head coach Pep Guardiola reacts after Bernardo Silva scored the opening goal during the Champions League semifinal second leg soccer match between Manchester City and Real Madrid at Etihad stadium in Manchester, England, Wednesday, May 17, 2023. (AP Photo/Jon Super, File)

FILE - Manchester City's Julian Alvarez scores his side's fourth goal past Real Madrid's goalkeeper Thibaut Courtois during the Champions League semifinal second leg soccer match between Manchester City and Real Madrid at Etihad stadium in Manchester, England, Wednesday, May 17, 2023. (AP Photo/Jon Super, File)

FILE - Manchester City's Julian Alvarez scores his side's fourth goal past Real Madrid's goalkeeper Thibaut Courtois during the Champions League semifinal second leg soccer match between Manchester City and Real Madrid at Etihad stadium in Manchester, England, Wednesday, May 17, 2023. (AP Photo/Jon Super, File)

FILE - Manchester City's Erling Haaland, right, and his teammates celebrate their third goal during the Champions League semifinal second leg soccer match between Manchester City and Real Madrid at Etihad stadium in Manchester, England, Wednesday, May 17, 2023. (AP Photo/Jon Super, File)

FILE - Manchester City's Erling Haaland, right, and his teammates celebrate their third goal during the Champions League semifinal second leg soccer match between Manchester City and Real Madrid at Etihad stadium in Manchester, England, Wednesday, May 17, 2023. (AP Photo/Jon Super, File)

FILE - Manchester City's Jack Grealish, left, and Manchester City's Ilkay Gundogan react during the Champions League semi final, second leg soccer match between Real Madrid and Manchester City at the Santiago Bernabeu stadium in Madrid, Spain, Wednesday, May 4, 2022. (AP Photo/Manu Fernandez, File)

FILE - Manchester City's Jack Grealish, left, and Manchester City's Ilkay Gundogan react during the Champions League semi final, second leg soccer match between Real Madrid and Manchester City at the Santiago Bernabeu stadium in Madrid, Spain, Wednesday, May 4, 2022. (AP Photo/Manu Fernandez, File)

FILE - Manchester City's Riyad Mahrez, right, celebrates after scoring his side's opening goal during the Champions League semi final, second leg soccer match between Real Madrid and Manchester City at the Santiago Bernabeu stadium in Madrid, Spain, Wednesday, May 4, 2022. (AP Photo/Manu Fernandez, File)

FILE - Manchester City's Riyad Mahrez, right, celebrates after scoring his side's opening goal during the Champions League semi final, second leg soccer match between Real Madrid and Manchester City at the Santiago Bernabeu stadium in Madrid, Spain, Wednesday, May 4, 2022. (AP Photo/Manu Fernandez, File)

FILE - Real Madrid's goalkeeper Thibaut Courtois saves from Manchester City's Erling Haaland, right, during the Champions League semifinal second leg soccer match between Manchester City and Real Madrid at Etihad stadium in Manchester, England, Wednesday, May 17, 2023. (AP Photo/Jon Super, File)

FILE - Real Madrid's goalkeeper Thibaut Courtois saves from Manchester City's Erling Haaland, right, during the Champions League semifinal second leg soccer match between Manchester City and Real Madrid at Etihad stadium in Manchester, England, Wednesday, May 17, 2023. (AP Photo/Jon Super, File)

FILE - Manchester City's David Silva, right, is tackled by Real Madrid's Xabi Alonso earning the latter a yellow card during their Champions League Group D soccer match at the Etihad Stadium, Manchester, England, Wednesday Nov. 21, 2012. (AP Photo/Jon Super, File)

FILE - Manchester City's David Silva, right, is tackled by Real Madrid's Xabi Alonso earning the latter a yellow card during their Champions League Group D soccer match at the Etihad Stadium, Manchester, England, Wednesday Nov. 21, 2012. (AP Photo/Jon Super, File)

FILE - Real Madrid's Karim Benzema celebrates after scoring his side's third goal during the Champions League semi final, second leg soccer match between Real Madrid and Manchester City at the Santiago Bernabeu stadium in Madrid, Spain, Wednesday, May 4, 2022. (AP Photo/Manu Fernandez, File)

FILE - Real Madrid's Karim Benzema celebrates after scoring his side's third goal during the Champions League semi final, second leg soccer match between Real Madrid and Manchester City at the Santiago Bernabeu stadium in Madrid, Spain, Wednesday, May 4, 2022. (AP Photo/Manu Fernandez, File)

FILE - Manchester City's Sergio Aguero, left, is tackled by Real Madrid's Pepe during their Champions League Group D soccer match at the Etihad Stadium in Manchester, England, Wednesday Nov. 21, 2012. (AP Photo/Clint Hughes, File)

FILE - Manchester City's Sergio Aguero, left, is tackled by Real Madrid's Pepe during their Champions League Group D soccer match at the Etihad Stadium in Manchester, England, Wednesday Nov. 21, 2012. (AP Photo/Clint Hughes, File)

FILE - Manchester City's goalkeeper Ederson, right, fails to save the ball as Real Madrid's Antonio Rudiger scores the winning penalty during a penalty shootout during the Champions League quarterfinal second leg soccer match between Manchester City and Real Madrid at the Etihad Stadium in Manchester, England, Wednesday, April 17, 2024. (AP Photo/Dave Shopland, File)

FILE - Manchester City's goalkeeper Ederson, right, fails to save the ball as Real Madrid's Antonio Rudiger scores the winning penalty during a penalty shootout during the Champions League quarterfinal second leg soccer match between Manchester City and Real Madrid at the Etihad Stadium in Manchester, England, Wednesday, April 17, 2024. (AP Photo/Dave Shopland, File)

FILE - Real Madrid's Antonio Rudiger celebrates at the end of the Champions League quarterfinal second leg soccer match between Manchester City and Real Madrid at the Etihad Stadium in Manchester, England, Wednesday, April 17, 2024. (AP Photo/Dave Shopland, File)

FILE - Real Madrid's Antonio Rudiger celebrates at the end of the Champions League quarterfinal second leg soccer match between Manchester City and Real Madrid at the Etihad Stadium in Manchester, England, Wednesday, April 17, 2024. (AP Photo/Dave Shopland, File)

FILE - Real Madrid players celebrate after wining the Champions League quarterfinal second leg soccer match between Manchester City and Real Madrid at the Etihad Stadium in Manchester, England, Wednesday, April 17, 2024. (AP Photo/Dave Thompson, File)

FILE - Real Madrid players celebrate after wining the Champions League quarterfinal second leg soccer match between Manchester City and Real Madrid at the Etihad Stadium in Manchester, England, Wednesday, April 17, 2024. (AP Photo/Dave Thompson, File)

FILE - Manchester City's head coach Pep Guardiola reacts during the Champions League quarterfinal second leg soccer match between Manchester City and Real Madrid at the Etihad Stadium in Manchester, England, Wednesday, April 17, 2024. (AP Photo/Dave Thompson, File)

FILE - Manchester City's head coach Pep Guardiola reacts during the Champions League quarterfinal second leg soccer match between Manchester City and Real Madrid at the Etihad Stadium in Manchester, England, Wednesday, April 17, 2024. (AP Photo/Dave Thompson, File)

FILE - Manchester City's Kevin De Bruyne kicks the ball with Real Madrid's Toni Kroos during the Champions League quarterfinal second leg soccer match between Manchester City and Real Madrid at the Etihad Stadium in Manchester, England, Wednesday, April 17, 2024. (AP Photo/Dave Thompson, File)

FILE - Manchester City's Kevin De Bruyne kicks the ball with Real Madrid's Toni Kroos during the Champions League quarterfinal second leg soccer match between Manchester City and Real Madrid at the Etihad Stadium in Manchester, England, Wednesday, April 17, 2024. (AP Photo/Dave Thompson, File)

It is an unusually early meeting between these two giants — but the fourth year in a row in which they've clashed. And to underline its importance, the winner in each of the three years has gone on to win the competition. The stakes are that high.

“It looks like a derby already, four years in a row facing Madrid,” City manager Pep Guardiola said Friday. “The draw could be nicer, yes."

Holder Madrid and 2023 champion City are only meeting now because they made such hard work of the competition's new-look format.

City went into the final round of games in the 36-team league phase needing to win just to secure the lifeline of a playoff.

Madrid finished 11th, with the top eight automatically advancing to the round of 16.

Both teams had flirted with elimination, with Madrid losing against Lille, AC Milan and Liverpool. City suffered defeats to Sporting Lisbon, Juventus and Paris Saint-Germain.

Both recovered in time to stay alive in European club soccer's elite competition — but having been drawn against each other, are now realising the consequences of those poor runs in the league phase.

Record 15-time champion Madrid has won nine of its last 11 games and Kylian Mbappe is on fire after enduring some difficult moments following his move from PSG.

The France international has scored 12 goals in his last 13 games and alongside Vinicius Junior and Rodrygo, he is part of one of the most thrilling attacks in Europe.

City has also improved in recent weeks after recovering from a midseason slump that saw it win just once in 13 games from October to December — a run that included nine losses.

The four-time defending Premier League champion is unbeaten in six in the league.

It would be hard to top the drama of two thrilling clashes when Madrid and City met in the semifinals of 2022.

City dominated the first leg at the Etihad, yet only took a slender 4-3 lead to the Bernabeu.

City then looked to be cruising to the final when 1-0 up in the second leg and two ahead on aggregate going into the 90th minute.

That was until a stunning comeback from Madrid, with Rodrygo scoring twice to force extra time and Karim Benzema converting a winning penalty in the 95th minute. Madrid went on to beat Liverpool in the final.

City avenged that result when they met in the semifinals again a year later. A 4-0 win at the Etihad sealed a 5-1 victory on aggregate as Guardiola's team went on to lift the trophy for the first time by beating Inter Milan in the final.

Another year, another clash of the titans and in 2024 it was Madrid that prevailed in the quarterfinals.

A 3-3 draw at the Bernabeu was followed by a 1-1 at the Etihad and a penalty shootout in which Madrid triumphed.

A 15th European Cup soon followed with Madrid beating Borussia Dortmund in the final.

This will be the seventh time the teams have met in the Champions League since 2012 and there has been little to separate them.

Madrid beat City in the semifinals in 2016, while City came out on top when they faced off in the round of 16 four years later.

They played in the old group stage in 2012. In one of those games Madrid won 3-2 at the Bernabeu thanks to two late goals from Benzema and Cristiano Ronaldo.

The winner will play either Atletico Madrid or German champion Bayer Leverkusen in the round of 16.

James Robson is at https://twitter.com/jamesalanrobson

AP soccer: https://apnews.com/hub/soccer

FILE - Real Madrid's Vinicius Junior vies for the ball with Manchester City's Kyle Walker, left, during the Champions League semifinal second leg soccer match between Manchester City and Real Madrid at Etihad stadium in Manchester, England, Wednesday, May 17, 2023. (AP Photo/Jon Super, File)

FILE - Real Madrid's Vinicius Junior vies for the ball with Manchester City's Kyle Walker, left, during the Champions League semifinal second leg soccer match between Manchester City and Real Madrid at Etihad stadium in Manchester, England, Wednesday, May 17, 2023. (AP Photo/Jon Super, File)

FILE - Manchester City's Rodrigo, right, tries to stop Real Madrid's Karim Benzema during the Champions League semi final, second leg, soccer match between Real Madrid and Manchester City at the Santiago Bernabeu stadium in Madrid, Spain, Wednesday, May 4, 2022. (AP Photo/Bernat Armangue, File)

FILE - Manchester City's Rodrigo, right, tries to stop Real Madrid's Karim Benzema during the Champions League semi final, second leg, soccer match between Real Madrid and Manchester City at the Santiago Bernabeu stadium in Madrid, Spain, Wednesday, May 4, 2022. (AP Photo/Bernat Armangue, File)

FILE - Real Madrid's Rodrygo, third left, scores his side's second goal during the Champions League semi final, second leg, soccer match between Real Madrid and Manchester City at the Santiago Bernabeu stadium in Madrid, Spain, Wednesday, May 4, 2022. (AP Photo/Bernat Armangue, File)

FILE - Real Madrid's Rodrygo, third left, scores his side's second goal during the Champions League semi final, second leg, soccer match between Real Madrid and Manchester City at the Santiago Bernabeu stadium in Madrid, Spain, Wednesday, May 4, 2022. (AP Photo/Bernat Armangue, File)

FILE - Real Madrid's coach Jose Mourinho from Portugal reacts after Cristiano Ronaldo scored the winning goal during a Group D Champions League soccer match against Manchester City at the Santiago Bernabeu stadium in Madrid Tuesday Sept. 18, 2012. Real Madrid beat Manchester City 3-2. (AP Photo/Paul White, File)

FILE - Real Madrid's coach Jose Mourinho from Portugal reacts after Cristiano Ronaldo scored the winning goal during a Group D Champions League soccer match against Manchester City at the Santiago Bernabeu stadium in Madrid Tuesday Sept. 18, 2012. Real Madrid beat Manchester City 3-2. (AP Photo/Paul White, File)

FILE - Real Madrid's head coach Carlo Ancelotti stands by the touchline during the last minutes of the Champions League semifinal second leg soccer match between Manchester City and Real Madrid at Etihad stadium in Manchester, England, Wednesday, May 17, 2023. Manchester City won 4-0. (AP Photo/Jon Super, File)

FILE - Real Madrid's head coach Carlo Ancelotti stands by the touchline during the last minutes of the Champions League semifinal second leg soccer match between Manchester City and Real Madrid at Etihad stadium in Manchester, England, Wednesday, May 17, 2023. Manchester City won 4-0. (AP Photo/Jon Super, File)

FILE - Real Madrid's Cristiano Ronaldo from Portugal, left, celebrates with Pepe from Portugal after scoring a goal against Manchester City during a Champions League Group D soccer match at the Santiago Bernabeu Stadium, in Madrid, Tuesday, Sept. 18, 2012. (AP Photo/Daniel Ochoa De Olza, File)

FILE - Real Madrid's Cristiano Ronaldo from Portugal, left, celebrates with Pepe from Portugal after scoring a goal against Manchester City during a Champions League Group D soccer match at the Santiago Bernabeu Stadium, in Madrid, Tuesday, Sept. 18, 2012. (AP Photo/Daniel Ochoa De Olza, File)

FILE - Manchester City's Bernardo Silva celebrates after scoring his side's second goal during the Champions League semifinal second leg soccer match between Manchester City and Real Madrid at Etihad stadium in Manchester, England, Wednesday, May 17, 2023. (AP Photo/Jon Super, File)

FILE - Manchester City's Bernardo Silva celebrates after scoring his side's second goal during the Champions League semifinal second leg soccer match between Manchester City and Real Madrid at Etihad stadium in Manchester, England, Wednesday, May 17, 2023. (AP Photo/Jon Super, File)

FILE - Real Madrid players celebrate at the end of the Champions League semi final, second leg soccer match between Real Madrid and Manchester City at the Santiago Bernabeu stadium in Madrid, Spain, Wednesday, May 4, 2022. (AP Photo/Manu Fernandez, File)

FILE - Real Madrid players celebrate at the end of the Champions League semi final, second leg soccer match between Real Madrid and Manchester City at the Santiago Bernabeu stadium in Madrid, Spain, Wednesday, May 4, 2022. (AP Photo/Manu Fernandez, File)

FILE - Real Madrid's Karim Benzema gestures during the Champions League semifinal second leg soccer match between Manchester City and Real Madrid at Etihad stadium in Manchester, England, Wednesday, May 17, 2023. (AP Photo/Jon Super, File)

FILE - Real Madrid's Karim Benzema gestures during the Champions League semifinal second leg soccer match between Manchester City and Real Madrid at Etihad stadium in Manchester, England, Wednesday, May 17, 2023. (AP Photo/Jon Super, File)

FILE - Manchester City's head coach Pep Guardiola reacts after Bernardo Silva scored the opening goal during the Champions League semifinal second leg soccer match between Manchester City and Real Madrid at Etihad stadium in Manchester, England, Wednesday, May 17, 2023. (AP Photo/Jon Super, File)

FILE - Manchester City's head coach Pep Guardiola reacts after Bernardo Silva scored the opening goal during the Champions League semifinal second leg soccer match between Manchester City and Real Madrid at Etihad stadium in Manchester, England, Wednesday, May 17, 2023. (AP Photo/Jon Super, File)

FILE - Manchester City's Julian Alvarez scores his side's fourth goal past Real Madrid's goalkeeper Thibaut Courtois during the Champions League semifinal second leg soccer match between Manchester City and Real Madrid at Etihad stadium in Manchester, England, Wednesday, May 17, 2023. (AP Photo/Jon Super, File)

FILE - Manchester City's Julian Alvarez scores his side's fourth goal past Real Madrid's goalkeeper Thibaut Courtois during the Champions League semifinal second leg soccer match between Manchester City and Real Madrid at Etihad stadium in Manchester, England, Wednesday, May 17, 2023. (AP Photo/Jon Super, File)

FILE - Manchester City's Erling Haaland, right, and his teammates celebrate their third goal during the Champions League semifinal second leg soccer match between Manchester City and Real Madrid at Etihad stadium in Manchester, England, Wednesday, May 17, 2023. (AP Photo/Jon Super, File)

FILE - Manchester City's Erling Haaland, right, and his teammates celebrate their third goal during the Champions League semifinal second leg soccer match between Manchester City and Real Madrid at Etihad stadium in Manchester, England, Wednesday, May 17, 2023. (AP Photo/Jon Super, File)

FILE - Manchester City's Jack Grealish, left, and Manchester City's Ilkay Gundogan react during the Champions League semi final, second leg soccer match between Real Madrid and Manchester City at the Santiago Bernabeu stadium in Madrid, Spain, Wednesday, May 4, 2022. (AP Photo/Manu Fernandez, File)

FILE - Manchester City's Jack Grealish, left, and Manchester City's Ilkay Gundogan react during the Champions League semi final, second leg soccer match between Real Madrid and Manchester City at the Santiago Bernabeu stadium in Madrid, Spain, Wednesday, May 4, 2022. (AP Photo/Manu Fernandez, File)

FILE - Manchester City's Riyad Mahrez, right, celebrates after scoring his side's opening goal during the Champions League semi final, second leg soccer match between Real Madrid and Manchester City at the Santiago Bernabeu stadium in Madrid, Spain, Wednesday, May 4, 2022. (AP Photo/Manu Fernandez, File)

FILE - Manchester City's Riyad Mahrez, right, celebrates after scoring his side's opening goal during the Champions League semi final, second leg soccer match between Real Madrid and Manchester City at the Santiago Bernabeu stadium in Madrid, Spain, Wednesday, May 4, 2022. (AP Photo/Manu Fernandez, File)

FILE - Real Madrid's goalkeeper Thibaut Courtois saves from Manchester City's Erling Haaland, right, during the Champions League semifinal second leg soccer match between Manchester City and Real Madrid at Etihad stadium in Manchester, England, Wednesday, May 17, 2023. (AP Photo/Jon Super, File)

FILE - Real Madrid's goalkeeper Thibaut Courtois saves from Manchester City's Erling Haaland, right, during the Champions League semifinal second leg soccer match between Manchester City and Real Madrid at Etihad stadium in Manchester, England, Wednesday, May 17, 2023. (AP Photo/Jon Super, File)

FILE - Manchester City's David Silva, right, is tackled by Real Madrid's Xabi Alonso earning the latter a yellow card during their Champions League Group D soccer match at the Etihad Stadium, Manchester, England, Wednesday Nov. 21, 2012. (AP Photo/Jon Super, File)

FILE - Manchester City's David Silva, right, is tackled by Real Madrid's Xabi Alonso earning the latter a yellow card during their Champions League Group D soccer match at the Etihad Stadium, Manchester, England, Wednesday Nov. 21, 2012. (AP Photo/Jon Super, File)

FILE - Real Madrid's Karim Benzema celebrates after scoring his side's third goal during the Champions League semi final, second leg soccer match between Real Madrid and Manchester City at the Santiago Bernabeu stadium in Madrid, Spain, Wednesday, May 4, 2022. (AP Photo/Manu Fernandez, File)

FILE - Real Madrid's Karim Benzema celebrates after scoring his side's third goal during the Champions League semi final, second leg soccer match between Real Madrid and Manchester City at the Santiago Bernabeu stadium in Madrid, Spain, Wednesday, May 4, 2022. (AP Photo/Manu Fernandez, File)

FILE - Manchester City's Sergio Aguero, left, is tackled by Real Madrid's Pepe during their Champions League Group D soccer match at the Etihad Stadium in Manchester, England, Wednesday Nov. 21, 2012. (AP Photo/Clint Hughes, File)

FILE - Manchester City's Sergio Aguero, left, is tackled by Real Madrid's Pepe during their Champions League Group D soccer match at the Etihad Stadium in Manchester, England, Wednesday Nov. 21, 2012. (AP Photo/Clint Hughes, File)

FILE - Manchester City's goalkeeper Ederson, right, fails to save the ball as Real Madrid's Antonio Rudiger scores the winning penalty during a penalty shootout during the Champions League quarterfinal second leg soccer match between Manchester City and Real Madrid at the Etihad Stadium in Manchester, England, Wednesday, April 17, 2024. (AP Photo/Dave Shopland, File)

FILE - Manchester City's goalkeeper Ederson, right, fails to save the ball as Real Madrid's Antonio Rudiger scores the winning penalty during a penalty shootout during the Champions League quarterfinal second leg soccer match between Manchester City and Real Madrid at the Etihad Stadium in Manchester, England, Wednesday, April 17, 2024. (AP Photo/Dave Shopland, File)

FILE - Real Madrid's Antonio Rudiger celebrates at the end of the Champions League quarterfinal second leg soccer match between Manchester City and Real Madrid at the Etihad Stadium in Manchester, England, Wednesday, April 17, 2024. (AP Photo/Dave Shopland, File)

FILE - Real Madrid's Antonio Rudiger celebrates at the end of the Champions League quarterfinal second leg soccer match between Manchester City and Real Madrid at the Etihad Stadium in Manchester, England, Wednesday, April 17, 2024. (AP Photo/Dave Shopland, File)

FILE - Real Madrid players celebrate after wining the Champions League quarterfinal second leg soccer match between Manchester City and Real Madrid at the Etihad Stadium in Manchester, England, Wednesday, April 17, 2024. (AP Photo/Dave Thompson, File)

FILE - Real Madrid players celebrate after wining the Champions League quarterfinal second leg soccer match between Manchester City and Real Madrid at the Etihad Stadium in Manchester, England, Wednesday, April 17, 2024. (AP Photo/Dave Thompson, File)

FILE - Manchester City's head coach Pep Guardiola reacts during the Champions League quarterfinal second leg soccer match between Manchester City and Real Madrid at the Etihad Stadium in Manchester, England, Wednesday, April 17, 2024. (AP Photo/Dave Thompson, File)

FILE - Manchester City's head coach Pep Guardiola reacts during the Champions League quarterfinal second leg soccer match between Manchester City and Real Madrid at the Etihad Stadium in Manchester, England, Wednesday, April 17, 2024. (AP Photo/Dave Thompson, File)

FILE - Manchester City's Kevin De Bruyne kicks the ball with Real Madrid's Toni Kroos during the Champions League quarterfinal second leg soccer match between Manchester City and Real Madrid at the Etihad Stadium in Manchester, England, Wednesday, April 17, 2024. (AP Photo/Dave Thompson, File)

FILE - Manchester City's Kevin De Bruyne kicks the ball with Real Madrid's Toni Kroos during the Champions League quarterfinal second leg soccer match between Manchester City and Real Madrid at the Etihad Stadium in Manchester, England, Wednesday, April 17, 2024. (AP Photo/Dave Thompson, File)

CONCORD, N.C. (AP) — Kyle Busch died after severe pneumonia progressed into sepsis, resulting in rapid and overwhelming associated complications, according to a statement released by his family.

Dakota Hunter, vice president of Kyle Busch Companies, said in a news release the family received the medical evaluation on Saturday.

Busch, a two-time NASCAR champion, died at 41 on Thursday, a day after passing out in a Chevrolet simulator.

Sepsis is considered a life-threatening medical emergency that occurs when the body has an extreme, overactive response to an infection, causing the immune system to damage its own tissues and organs, according to the Centers for Disease Control and Prevention.

Typically the immune system releases chemicals to fight off pathogens like bacteria, viruses or fungi, but with sepsis the response goes into overdrive. The results can cause widespread inflammation, form microscopic blood clots and make blood vessels leak.

Busch was thought to have had a sinus cold while racing at Watkins Glen on May 10 and radioed in to his team saying that he needed a “shot” from a doctor after the race.

However, he bounced back to win the Trucks Series race at Dover last weekend, and then he finished 17th in the All-Star race on Sunday.

Busch, who was preparing to race Sunday at the Coca-Cola 600 at Charlotte Motor Speedway, was testing in the Chevrolet racing simulator in Concord on Wednesday when he became unresponsive and was transported to a hospital in Charlotte, several people familiar with the situation told The Associated Press.

During the emergency call placed late that afternoon, an unidentified caller calmly told the dispatch: “I’ve got an individual that’s (got) shortness of breath, very hot, thinks he’s going to pass out, and is producing a little bit of blood, coughing up some blood.”

The caller said Busch was lying on the bathroom floor inside the complex and told dispatch “he is awake,” according to audio provided by the Cabarrus County Sheriff’s Office. The man then gave directions on where emergency responders should go and asked that they turn off any sirens upon arrival.

NASCAR driver Brad Keselowski said he knew Busch wasn’t feeling well recently.

“Yes, but I won’t go into any specifics," Keselowski said. “But then when he ran the Truck race last week, those (thoughts) were honestly kind of erased in my mind.”

Keselowski said running multiple races on the same weekend can be difficult on a driver's health — but most don't want to miss a race for fear of being replaced.

“There’s no shortage of drivers that would love to take my seat or anybody else’s seat if we weren’t feeling well, and I think every driver feels that pressure,” Keselowski said. “All athletes do. It’s not unique to NASCAR in that sense. We’re all thinking to ourselves, ‘I don’t wanna be replaced.’ ... So you try to power through it the best you can."

Busch won 234 races across NASCAR’s top three series over his two-decade career, more than any driver in history.

All 39 drivers in the field for Sunday’s race will race with a black No. 8 decal on their car to honor Busch.

AP auto racing: https://apnews.com/hub/auto-racing

An in memoriam photo of former driver Kyle Busch is displayed on the video board of the backstretch at Charlotte Motor Speedway, Friday, May 22, 2026, in Charlotte, N.C. (AP Photo/Matt Kelley)

An in memoriam photo of former driver Kyle Busch is displayed on the video board of the backstretch at Charlotte Motor Speedway, Friday, May 22, 2026, in Charlotte, N.C. (AP Photo/Matt Kelley)

FILE - Kyle Busch waits for the start of a NASCAR Xfinity Series auto race Saturday, June 19, 2021, in Lebanon, Tenn. (AP Photo/Mark Humphrey, File)

FILE - Kyle Busch waits for the start of a NASCAR Xfinity Series auto race Saturday, June 19, 2021, in Lebanon, Tenn. (AP Photo/Mark Humphrey, File)

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