The evolution of dislocation loops and helium bubbles in W-0.5ZrC alloy with different pre-existing dislocation densities was investigated by in-situ transmission electron microscopy during 30 keV He+ irradiation at 800 °C. The nucleation, migration, aggregation, and growth of dislocation loops and helium bubbles occurred with the whole irradiation process. The variation trends of average size and volume number density of dislocation loops and helium bubbles with the increase of irradiation dose in the regions with different pre-existing dislocation densities were obtained. It was found that the growth of dislocation loops was inhibited in the region with a low pre-existing dislocation density (about 5.2 × 1013 /m2), and the nucleation of dislocation loops was inhibited in the region with the dispersed medium density (about 1.6 × 1014 /m2, dislocations were crossed but dispersed), while both the nucleation and growth of dislocation loops were inhibited in the region with the compact medium density (about 1.5 × 1014 /m2, dislocations were crossed and compact). During the irradiation process, the pre-existing dislocations would interact with the irradiation-induced dislocation loops and helium bubbles, but their influence weakened with the increase of irradiation dose, and finally resulted in the disappearance or deformation of pre-existing dislocations. The irradiation hardening caused by dislocation loops and helium bubbles was increased with the increase of irradiation dose, and the corresponding mechanism was analyzed.