High-toughness recycled aggregate concrete (HTRAC), as an innovative green building material, showcases outstanding performance and environmental attributes. To investigate its microscopic structural characteristics and the mechanisms of damage evolution under loading, a series of 4D in-situ X-ray computed tomography (CT) experiments were conducted under uniaxial compression conditions. During the experimental process, detailed scans were performed on six key loading points (0 %, 30 %, 60 %, and 100 % of the peak load, 70 % and 40 % of the post-peak load of the specimen). Advanced three-dimensional image processing techniques were utilized to conduct a comprehensive analysis of internal features within the specimen, including pores, steel fibers, and cracks. The evolution of damage in HTRAC was characterized by both qualitative 2D crack slice analysis and quantitative 3D reconstruction analysis of cracks. Changes in the average grayscale values of CT cross-sectional images were also examined. The deterioration mechanism of recycled aggregate concrete interface cracks was elucidated by the combination of CT images and modeled HTRAC. Furthermore, a statistics model illustrating the interaction mechanism between damage, cracks, and strain was proposed. This study provides technical and theoretical support for the further promotion and application of high-toughness recycled aggregate concrete.