The fluid flow in a bath in combined top and bottom blowing vacuum‐oxygen decarburization (VOD) refining process of stainless steel has numerically been simulated. The three‐dimensional mathematical model used is essentially based on that proposed in our previous work for the flow in combined side and top blowing argon‐oxygen decarburization (AOD) process, but considering the influence of reduced ambient pressure. Applying it to the flow in the bath of a 120 t VOD vessel under the refining conditions, the results present that the model can fairly well simulate and estimate the flow phenomena. The flow pattern of molten steel in the bath with the combined blowing is a composite result under the common action of the jets from a three‐hole Laval top lance and gas bottom blowing streams. The jets have a leading role on it; the molten steel in the whole bath is in vigorous stirring and circulatory motion during the blowing process. The streams do not alter the basic features of the gas agitation and liquid flow, but can evidently change the local flow pattern of the liquid and increase its turbulent kinetic energy to a certain extent. The flow field and turbulent kinetic energy distribution in the combined blowing with three tuyeres are more uniform than those in the blowing with double tuyeres. Increasing properly the tuyere eccentricities is of advantage for improving the velocity and turbulent kinetic energy distributions, the stirring and mixing result in the practical VOD refining process.