As global power demand increases, hydropower plants often must operate beyond their optimal efficiency to meet grid requirements, leading to unstable, high-swirling flows under various load conditions that can significantly shorten the lifespan of turbine components. This paper presents an in-depth computational study on the performance and dynamics of a pump-turbine operating under 80% partial load, focusing on the formation and impact of vortex ropes. Large Eddy Simulation (LES) was utilized to model the turbulent flow, revealing complex patterns and significant pressure fluctuations. A pronounced straight vortex rope was identified in the draft tube, maintaining its trajectory and core size consistently, profoundly affecting flow characteristics. Pressure fluctuations were observed at various cross-sectional planes, with peaks and troughs primarily near the runner, indicating areas prone to instability. The standard deviation of pressure fluctuations ranged from 4.51 to 5.26 along the draft tube wall and 4.27 to 4.97 along the axial center, highlighting significant unsteady flow. Moreover, the frequency corresponding to the highest amplitude in pressure coefficient spectrographs remained consistent at approximately 9.93 to 9.95, emphasizing the persistent influence of vortex rope dynamics. These dynamics affected power generation, which was approximately 29.1 kW, with fluctuations accounting for about 3% of the total generated power, underscoring the critical impact of vortex rope formation on the performance and operational stability of pump-turbines under off-design conditions. This study provides essential insights vital for enhancing the design and operational strategies of these turbines, ensuring more efficient and reliable energy production in the face of increasing power demands.