Abstract The embedment of steel spiral cases within concrete under a pressurized condition is a kind of construction approach that widely used in pump-turbines. There will be an initial preloading clearance between the spiral case and surrounding concrete after the construction. The clearance is directly determined by the preloading water head and changes with the variation in operational hydraulic pressure, which will effect the combined load transmission mechanism. This paper investigates the clearance evolution of preloading filling spiral cases and surrounding concrete under different internal pressure. The effect of the preloading water head on the initial clearance, the contact characteristics and the combined load transmission mechanism under different internal pressure are numerically studied. The results show that the initial clearance between the spiral case and concrete increases with the rise of the preloading water head. The maximum clearances are all located at the waist of the spiral case. The clearance during operation presents uneven distribution characteristics in spatial and temporal scales. Before the internal water pressure comes to the preloading water head, the inlet, outer part in the direction of 45° and the sectional area are the first to close, the outer part of the waist follows, while the outer area of the spiral case middle remains open when the pressure reaches the preloading water head. The contact pressure distribution is consistent with the contact status characteristic. The conclusion of this paper aims to improve the understanding of the effect of the clearance between the preloading filling spiral case and concrete, so as to provide theoretical reference for safe and stable operation of pump-turbine units.