The reduced activation ferritic/martensitic steel F82H-IEA was studied through a systematic set of dual (Fe2++He2+) and triple (Fe2++He2++H+) ion irradiations to determine the effect of hydrogen co-injection with helium and radiation damage on the irradiated microstructure and in particular, cavity evolution. Irradiations were conducted in four distinct permutations from a set of nominal irradiation parameters of 50 dpa, 1 × 10–3 dpa/s, 500 °C, and 40/10 appm/dpa of H/He or 10 appm/dpa of He. A temperature series of dual and triple ions ranging from 400 to 600 °C was conducted where swelling values of 1.3–2.4x were obtained with the co-injection of hydrogen. A damage level (50 to 150 dpa) and damage rate (2.5 × 10–4 to 2.5 × 10–3 dpa/s) series were also conducted where hydrogen was again observed to cause a ∼1.2–1.8x increase in swelling in triple ion irradiation versus dual ions. The effect of hydrogen was also observed to increase the overall steady state swelling rate from 0.02%/dpa in dual ions to 0.034%/dpa under triple ions at 500 °C by 150 dpa. A final series of triple ion experiments was conducted at 450 °C and 500 °C at 80 appm/dpa of H where swelling was suppressed by 50% compared to the dual ion irradiated case due to over-nucleation of small bubbles. The effect of hydrogen on bubble nucleation was to stabilize higher densities of smaller helium bubbles possibly through increasing nucleation rates and reduction of the stable bubble radius. The effect on swelling was in the promotion of higher densities of larger voids experiencing bias-driven growth. Hydrogen was shown to have a moderate influence on the nucleation and growth of dislocation loops, although these effects appear to be convoluted by the changes in cavity microstructure dominating sink strength across conditions. Hydrogen co-injection was also loosely correlated with enhanced dissolution of M23C6 precipitates across temperature and damage level regimes.