The processes leading to hydrogen-related fracture in X80 pipeline steel with a stress concentration have been investigated comprehensively through observations of fracture surfaces and subsidiary cracks, stress analyses, crack initiation and propagation analyses and crystallographic analyses of fracture surfaces. Fracture morphology showed quasi-cleavage (QC) fracture under various amounts of hydrogen. It was found that QC cracks initiated in hydrogen-charged specimens in an area ranging from the notch tip to 100 µm inside based on interrupted tensile tests until just before fracture strength. A fracture surface topography analysis (FRASTA) revealed that QC cracks initiated at the notch tip. A finite element analysis indicated that the equivalent plastic strain was maximum at the crack initiation site at the notch tip. A backscattered electron image showed that nanovoids of 50–250 nm in diameter were present near the initiation site. Regarding the crack propagation process, field emission scanning electron microscopy (FE-SEM), electron backscattered diffraction (EBSD) and FRASTA results indicated that some microcracks in ferrite grains coalesced in a stepwise manner and propagated. Trace analyses using EBSD revealed that the QC fracture surface consisted of {011} slip planes, {001} cleavage planes and non-specific index planes. These findings indicate that QC fracture initiated at the notch tip due to the interaction between dislocations and hydrogen associated with local plastic deformation, and propagated in a stepwise manner by coalescence through vacancies, nanovoids and microcracks on various planes associated with/without plastic deformation in ferrite grains.