The use of pumps as turbines has been gaining more and more attention in recent years. The present work mainly investigates the influence of blade wrap angle on the internal flow and pressure fluctuation characteristics of centrifugal pumps as turbines. Five different wrap angles (35°,45°, 55°, 65°, and 75°) for a forward-curved impeller were numerically analyzed under multiple operating conditions. The accuracy of numerical simulation was validated by experimental results. The results show that maximum efficiency is achieved with a blade wrap angle of 35°, and the highest efficiency flow point gradually decreases as the blade wrap angle increases. It is found by conducting entropy production theory analysis that the high-entropy production rate regions in PATs are concentrated in the volute tongue and impeller blade inlet regions, and that the entropy production rate at the impeller inlet region increases and then decreases as the blade wrap angle decreases. In addition, pressure pulsation was affected not only by dynamic and static interference but also by an irregular vortex around the impeller; its magnitude under Qt is higher than 0.8Qt for blade wrap angles of 55° and 75°. The primary frequency of pressure pulsation within the impeller is the axial frequency fn and its multiples, and the frequency with the largest amplitude is 3fn. The periodicity of vortices is closely related to the periodicity of pressure pulsation. And it is suggested that a PAT with a 35° blade wrap angle is advantageous for improving the stability of a turbine.