Specimens of 15Kh2MFAA steel used for reactor pressure vessels V-213 (VVER-440 reactor) were studied by positron annihilation techniques in terms of their radiation resistance and structural recovery after thermal treatment. The radiation load was simulated by experimental implantation of 500keV H+ ions. The maximum radiation damage of 1 DPA was obtained across a region of 3 µm. Radiation-induced defects were investigated by coincidence Doppler broadening spectroscopy and positron lifetime spectroscopy using a conventional positron source as well as a slow positron beam. All techniques registered an accumulation of small open-volume defects (mostly mono- and di-vacancies) due to the irradiation, with an increase of the defect volume ΔVD ≈ 2.88 × 10−8 cm−3. Finally, the irradiated specimens were gradually annealed at temperatures from 200 to 550 °C and analyzed in detail. The best defect recovery was found at a temperature between 450 and 475 °C, but the final defect concentration of about ΔCD = 0.34 ppm was still higher than in the as-received specimens.