The study presents results of computer simulation by finite elements method of a new metal forming process combining the deformation of a billet with round cross-section on a radial-shear rolling mill and subsequent billet twisting in a forming die with a specific design. To analyze the efficiency of metal processing, the main parameters of the stress-strain state are considered: effective strain, effective stress, average hydrostatic pressure, and Lode-Nadai coefficient. The maximum value of effective strain up to 13.5 is achieved when a screw profile on the billet in the die is forming, which indicates an intensive refinement of the initial structure of the billet. During combined process, the nature of the deformation changes in the transverse direction from the axis of rotation to the surface. The central area of the billet is under the action of tensile stresses. In the peripheral part, compressive stresses grow. In the surface area, Lode-Nadai coefficient is 0.1 approximately, which indicates the high level of shear strain. © 2023 Sergey Lezhnev et al.