Semi-macrosegregation in continuously cast blooms and its associated carbide banding defects in hot-rolled bars were investigated to explore the characteristics, evolution, and control methods in high-carbon chromium bearing steel. It was found that the semi-macrosegregation exists only in the central equiaxed crystal zone of the blooms, and C, Cr solute elements inside show typical spot-like positive segregation. Carbide banding appears as white bright bands along the rolling direction, composed of high number density M3C carbide particles, with a significant effect on the mechanical properties of the rolled products. The hereditary evolution from semi-macrosegregation to carbide banding was established by means of banded segregation. Morphologically, normal semi-macrosegregation and carbide-typed semi-macrosegregation are formed based on whether Cr-rich primary carbides are generated. These two types of semi-macrosegregation evolved into two kinds of carbide banding respectively, that is, dark bands and bright bands defined according to the ability to reflect light under OM. To alleviate the carbide banding defect in rolling products of high-carbon chromium bearing steel, the morphology and area ratio of equiaxed crystals in continuous cast blooms should be modified. It is observed that the equiaxed crystal ratio in the bloom can be decreased from 62.5 % to 28 % by increasing liquid steel superheat and inhibiting superheat dissipation in the mold through casting practices. Additionally, the morphology of equiaxed crystals is related to the as-cast solidification structure, and when the equiaxed crystal ratio is large, the equiaxed crystals turn out to be coarser ones with only cellular primary dendrite; when the columnar crystals are longer, however, the equiaxed crystals appear as a dendrite structure with fine secondary dendrites. As a result, semi-macrosegregation was improved obviously with the fine dendrite structure splitting the local residual liquid phase, leading to the decrease of the maximum width of carbide banding from 268.41 μm to 73.72 μm, and the increase of mechanical properties in the rolled bar of high-carbon chromium bearing steel.