The evolution of defects and irradiation damage in Ti and Ti-Mo alloy under hydrogen ion irradiation were investigated by slow positron-beam doppler broadening spectroscopy (DBS) and coincidence doppler broadening spectroscopy (CDB), X-ray diffraction (XRD) and transmission electron microscopy (TEM). The XRD results indicate that the existence of the β phase enhances the solid solubility of hydrogen in Ti-Mo alloy. The metastable γ-TiH hydrides are formed in pure titanium after hydrogen ion irradiation, while no hydride is found in Ti-Mo alloy under the same irradiation conditions. Moreover, DBS and CDB results show that hydrogen vacancy-complexes are formed in Ti and Ti-Mo alloys after hydrogen ion irradiation. Calculated doppler curves trend qualitatively agrees well with the experimental results. The TEM results show lower defect concentration and smaller defect sizes in Ti-Mo alloy with (α + β) than pure titanium. The addition of molybdenum significantly refines the grains and increases the density of the interface, which plays an important role in the management of irradiation-induced defects.