Due to the existence of an inlet elbow, transmission shaft, and other structural components, the inflow of axial-flow pumps as turbines (PATs) becomes non-uniform, resulting in the complexity of internal flow and adverse effects such as structural vibration. In this paper, numerical methods were employed to explore the non-uniform inflow effects on impeller forces and internal flow field characteristics within an axial-flow PAT. The study results indicated that non-uniform inflow caused uneven pressure distribution inside the impeller, which leads to an imbalance in radial forces and offsetting the center of radial forces. With an increasing flow rate, the asymmetry of radial forces as well as the amplitude of their fluctuations increased. Non-uniform inflow was found to induce unstable flow structures inside the impeller, leading to low-frequency, high-amplitude pressure fluctuations near the hub. Using the enstrophy transport equation, it was shown that the relative vortex generation term played a major part in the spatiotemporal evolution of vortices, with minimal viscous effects.