The atomic-scale interactions of H atoms with hydrogenated amorphous carbon ͑a-C:H͒ films were identified using molecular dynamics ͑MD͒ simulations and experiments based on surface characterization tools. Realistic a-C:H films developed using MD simulations were impinged with H atoms with a kinetic energy corresponding to a temperature of 700 K. The specific chemical reactions of the H atoms with the a-C:H surface were identified through a detailed analysis of the MD trajectories. The MD simulations showed that hydrogenation occurs primarily at the sp 2 sites and converts them to sp 3-hybridized C atoms. Depending on the hybridization of the next-nearest neighbor, a dangling bond may or may not be created. The hydrogenation reaction is highly exothermic, Ͼ2.5 eV, and proceeds with a negligible activation energy barrier via a mechanism similar to Eley-Rideal. In certain cases hydrogenation may also cleave a CC bond. The reaction events observed through MD simulations are consistent with the surface characterization of D-exposed a-C:H films using Raman spectroscopy, spectroscopic ellipsometry, and in situ attenuated total reflection Fourier-transform infrared spectroscopy.