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On August 30, 2019, the Nationals designated Grace for assignment after he posted a 6.36 earned run average across ​46  ⁄3 innings in 51 appearances during the 2019 season. He was outrighted to the Class-AAA Fresno Grizzlies after clearing waivers. He elected free agency on October 1, 2019.

Grace was signed to a minor league deal and invited to major league spring training by the Arizona Diamondbacks on November 18, 2019.

In the 2017 season, a shaky first-half performance by the Nationals' bullpen and a string of injuries to major league pitchers meant Grace served as a regular up-and-down reliever, shuttling between the Nationals and the Chiefs as needed. On July 14, 2017, Grace was called upon with the bases loaded and two outs in the ninth inning of a 5–0 game against the Reds, in his first appearance at Great American Ball Park since May 31, 2015, and induced a game-ending groundout to secure his first major league save.

Grace made his major league debut with the Nationals on April 22, 2015, pitching a scoreless inning in relief against the St. Louis Cardinals. After an outing against the Cincinnati Reds on May 31, 2015, in which he gave up four runs without recording an out, the Nationals optioned Grace back to Syracuse. Grace spent most of the remainder of the 2015 season and then the 2016 season with the Chiefs, being promoted for brief stints in both seasons after rosters expanded in September.

Grace was drafted by the Washington Nationals in the eighth round of the 2010 Major League Baseball Draft. He was converted into a starting pitcher with the Nationals and made his professional debut that season with the Gulf Coast Nationals. After spending three seasons without success starting, Grace was moved back to relieving before the 2013 season. Grace spent 2014 with the Double-A Hagerstown Suns and Triple-A Syracuse Chiefs.

Grace graduated from Palos Verdes High School and then played college baseball at the University of California, Los Angeles (UCLA) for the Bruins from 2008 to 2010. He was mostly a relief pitcher, but started six games during his career. Over his three-year career at UCLA, he pitched in 72 games, going 4–4 with a 3.92 earned run average (ERA) and 75 strikeouts. In 2009, he played collegiate summer baseball with the Cotuit Kettleers of the Cape Cod Baseball League.

Matthew Aaron Grace (born December 14, 1988) is an American professional baseball pitcher in the Arizona Diamondbacks organization of Major League Baseball (MLB). He has played in MLB for the Washington Nationals.