Rek'Sai Breacher, "Friendly Units played from anywhere other than a player's hand have ACCELERATE." Does this mean, if I play a card from deck it gets played ready? Or do I have to pay 1 power and 1 energy for it to be ready?

When you play a unit from your deck (or anywhere other than your hand) while you control Rek'Sai, Breacher, that unit gains the Accelerate keyword.

Accelerate does not automatically make the unit enter ready. Instead, it grants you the option to pay an additional cost to have it enter ready.

According to Rule 805.1.a and RiftJudge FAQ #9271:

  • Accelerate is functionally short for: "As you play me, you may pay [1] Energy and 1 Power as an additional cost. If you do, I enter ready."
  • If you do not pay this cost, the unit will enter the battlefield exhausted (the default state for units).
  • If you do pay the cost, the unit will enter the battlefield ready.

In summary: You must pay the 1 Energy and 1 Power cost if you want the unit to enter ready. If you choose not to pay, it enters exhausted.