As the core equipment of pumped storage power stations, reversible pump-turbines will frequently switch between different working modes during operation, and it is easy to appear hump region under pump condition, which will greatly affect the performance of the pumped storage unit. Therefore, in order to explore the causes of the hump region, this paper takes the model reversible pump-turbine as the research object. First, the unit speed–unit flow characteristics are compared with the model test results under different working conditions. Then, based on the omega vortex identification method, the vortex distribution in the flow channel of the unit is analyzed. By analyzing the flow characteristics of the flow components of the unit under different flow rates in the hump region, the internal flow law of the hump region is revealed. It is found that when the flow rate decreases, the rising head cannot offset the head lost by the hydraulic loss, thus forming the hump region, and the unstable flow gradually appears in the guide vane and runner area. There are unstable phenomena, such as flow separation, in the guide vane area. There is a sudden change of radial pressure in the vaneless area between the guide vane and the runner; that is, the unstable vortex almost occupies the whole flow channel due to the change of pressure in this area, resulting in the deterioration of the instability of the unit operation. When the flow rate is large, the radial pressure mutation zone mainly exists between the guide vane cascades, making it easy to form an unstable vortex. The research results can provide a theoretical reference for improving the stability of reversible pump-turbines.