We study topological states of matter in quasicrystals, which do not rely on crystalline order. In the absence of a band-structure description and spin-orbit coupling, we show that a three-dimensional quasicrystal can nevertheless form a topological insulator. It relies on a combination of noncrystallographic rotational symmetry of quasicrystals and electronic orbital space symmetry, which is the quasicrystalline counterpart of the topological crystalline insulator. The resulting topological state obeys a nontrivial twisted bulk-boundary correspondence and lacks a good metallic surface. The topological surface states, localized on the top and bottom planes respecting the quasicrystalline symmetry, exhibit a different kind of multifractality with probability density concentrated mostly on high-symmetry patches. They form a near-degenerate manifold of immobile states whose number scales proportionally to the macroscopic sample size. This can present an opportunity for a platform for topological surface physics distinct from the crystalline counterpart. Published by the American Physical Society 2024