Machine learning (ML) primarily evolved to solve "prediction problems." The first stage of two-stage least squares (2SLS) is a prediction problem, suggesting potential gains from ML first-stage assistance. However, little guidance exists on when ML helps 2SLS$\unicode{x2014}$or when it hurts. We investigate the implications of inserting ML into 2SLS, decomposing the bias into three informative components. Mechanically, ML-in-2SLS procedures face issues common to prediction and causal-inference settings$\unicode{x2014}$and their interaction. Through simulation, we show linear ML methods (e.g., post-Lasso) work well, while nonlinear methods (e.g., random forests, neural nets) generate substantial bias in second-stage estimates$\unicode{x2014}$potentially exceeding the bias of endogenous OLS.