The Orioles have so many problems that it's exhausting to think about. But, if you want to keep things simple, you can group them into two main categories (without even getting into anything coach or front office related). First, the major league team is in shambles. At 19-47, the Orioles have three fewer wins than any other team. Only one other team, the Royals, has been outscored by more runs (-114 vs. -112). The Orioles are a very bad baseball team that struggles across the board. It's hard to watch.
For reference, the 1988 Orioles (final record: 54-107) earned their 19th win on game 69 (to make them 19-50).