Specimens of 15Kh2MFAA steel used for reactor pressure vessels V-213 (VVER-440 reactor) were studied by positron annihilation techniques in terms of their radiation resistance and structural recovery after thermal treatment. The radiation load was simulated by experimental implantation of 500 keV H+ ions. The maximum radiation damage of 1 DPA was obtained across a region of 3 µm. Radiation-induced defects were investigated by coincidence Doppler broadening spectroscopy and positron lifetime spectroscopy using a conventional positron source as well as a slow positron beam. All techniques registered an accumulation of small open-volume defects (mostly mono- and di-vacancies) due to the irradiation, with an increase of the defect volume ΔVD ≈ 2.88 × 10−8 cm−3. Finally, the irradiated specimens were gradually annealed at temperatures from 200 to 550 °C and analyzed in detail. The best defect recovery was found at a temperature between 450 and 475 °C, but the final defect concentration of about ΔCD = 0.34 ppm was still higher than in the as-received specimens.