The types, distribution, morphology, orientation, growth, and aggregation mechanism of primary carbides in the continuous casting slab of 6Cr13 high‐carbon martensitic stainless steel are investigated. In the results, it is shown that M7C3 carbides precipitate from the liquid steel at the end of solidification. The area fraction of primary carbides in the slab thickness direction shows an overall decreasing trend from the center to the edge. And, the closer to the center region, the greater the difference in carbide distribution due to the presence of spot segregation defects. At 1/8 thickness and edges in the slab, the fast cooling rate and fine dendrites make the carbide morphology to be a small‐sized brain like that aggregates a large number of spherical carbides. At 1/4 thickness in the slab, blocky, fibrous, and spherical carbides precipitate successively and eventually aggregate together. At 3/8 thickness and center in the slab, the cooling rate is slower and spot segregation defects are randomly distributed in this region. The carbide morphology is mostly small‐sized brain like in the non‐spot segregation region. However, the alloying elements are highly supersaturated and the carbides can grow sufficiently to form less oriented, large‐sized brain‐like carbide in the spot segregation region.