Model tests and model calculations are the most basic means currently available to study the characteristics of the axial-flow pumps and Kaplan turbines in a systematic manner. Large and medium-sized turbine units and axial-flow pumps must rely on model tests and model calculations to ensure the performances of prototype units before designing. The conversions between models and prototypes are mainly carried out through similarity criteria. However, it is difficult to meet all the similarity criteria in the model tests and the similarity conversions, and the hydraulic and cavitation performances of the model and the prototype are often different. In this paper, numerical calculations of shroud clearance cavitation are performed on both the prototype and model using different cavitation coefficients. The results indicate that the prototype and model have a similar clearance cavitation flow regularity when the cavitation coefficient changes, but they have different energy characteristics and cavitation characteristics. In cavitation conditions, the prototype has higher energy characteristics than the model and the critical cavitation coefficient is similar to the model. When the cavitation coefficient is higher than the critical cavitation coefficient, compared to the model, the blade cavitation performance of the prototype is worse, and the clearance cavitation and runner chamber cavitation are more serious. If the cavitation coefficient decreases to the device cavitation coefficient, the runner chamber of the prototype will cavitate, even though the model has not cavitated yet. The comparison of shroud clearance cavitation between the prototype and the model can be used as a reference for the accuracy of similarity conversion results between the model and the prototype. It also has a positive impact on the design and operation of the prototype.