The ultra-low head pump stations often have bidirectional demand of water delivery, so there is a risk of runaway accident occurring in both conditions. To analyze the difference of the runaway process under forward runaway condition (FRC) and backward runaway condition (BRC), the whole flow system of a horizontal axial flow pump is considered. The Shear-Stress Transport (SST) k-ω model is adopted and the volume of fluid (VOF) model is applied to simulate the water surface in the reservoirs. Meanwhile, the torque balance equation is introduced to obtain the real time rotational speed, then the bidirectional runaway process of the pump with the same head is simulated. Additionally, the vortex transport equation is proposed to compare the contribution of vortex stretching and vortex dilatation terms. According to the changing law of the impeller torque, the torque curve can be divided into five stages: the drop, braking, rising, convergence and runaway stages. By comparison, the rising peak value of torque under FRC is significantly higher than that under BRC in the rising stage. Simultaneously, through the short time Fourier transform (STFT) method, the amplitude of torque pulsation is obviously different between FRC and BRC. The analysis reveals that the flow impact on blade surface increases the pressure difference between the two sides of the blade in braking condition, which leads to the torque increase in the rising stage. Moreover, the pulsation amplitude of torque is mainly affected by the integrity of the vortex rope.