Distortion behavior of blade castings in heat treatment process determines their geometrical accuracy, and improper control of it may result in additional repair, shape righting, or even rejection. This article presents a novel approach for discovering the distortion behavior of heavy blade castings during heat treatment process in production. Real-time measurements of distortion and temperature field of a heavy hydro turbine blade casting weighted 17 ton during forced air cooling in normalizing treatment process were carried out by using deformation measurement instruments and an infrared thermal imaging camera. The distortion processes of the typical locations of blade and the temperature field of the blade were obtained. One corner on the blade outlet edge side exhibits variation of distortion with two peaks and a valley. The range reaches 97 mm and the final distortion value is 76 mm. The maximum temperature difference on blade surface reaches 460 °C after 80 min of cooling. Influences of thermal stress and phase transformation stress on the distortion of the blade were elucidated and discussed. The results are of great significance for the understanding and control of the distortion behavior of hydro turbine blades in heat treatment.