Medium-entropy alloys (MEAs) exhibit exceptional mechanical properties, thermal properties, and irradiation resistance, making them promising candidates for aerospace and nuclear applications. This study utilized molecular dynamics simulations to examine the defect behavior in PdTi alloys under various irradiation conditions. Simulations were performed using the Large-scale Atomic/Molecular Massively Parallel Simulator (LAMMPS) with the modified embedded-atom method (MEAM) potential to describe interatomic interactions. Various temperatures, primary knock-on atom (PKA) energies, and elemental ratios were tested to understand the formation and evolution of defects. The results show that compared to pure Pd, PdTi alloys with increased entropy exhibit significantly enhanced irradiation resistance at higher temperatures and PKA energies. This study explored the impact of different elemental ratios, including Pd, PdTi1.5, PdTi, and Pd1.5Ti. Findings indicate that increasing the Pd concentration enhances the alloy’s irradiation resistance, improving mobility and recombination rates of defect clusters. A one-to-one Pd-to-Ti ratio demonstrated optimal performance. Temperature analysis revealed that at 300 K and 600 K, PdTi alloys exhibit excellent irradiation resistance at a PKA energy of 30 keV. However, as the temperature rises to 900 K, the irradiation resistance decreases slightly, and at 1200 K, the performance is likely to decline further. This study offers some useful insights into the irradiation evolution and radiation resistance of PdTi medium-entropy alloys, which may help inform their potential applications in the nuclear field and contribute to the further development of MEAs in this area.