An emotional Drew Smith revealed Friday that he has “pretty significant” ligament damage in his right elbow and he could be headed for the second Tommy John surgery of his career.

“It’s a cruel game,” Smith said before the Mets faced the Astros on Friday at Citi Field, “and sometimes it’s unfair.”

Smith, who is awaiting a second medical opinion, last pitched Sunday.

The 30-year-old right-hander has a 3.06 ERA and two saves in 19 games this season.

For the red-hot Mets, it’s another blow to a depleted and shaky bullpen.

For Smith, it’s inopportune timing as he is in his contract year.

He said that general manager David Stearns offered the team’s full rehab support this year.

“I’ve been with the Mets a long time and I love this organization,” Smith said. “I don’t know if it’s over obviously, but it could be, and it just sucks to see it end like this.”

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