Tumor necrosis factor-alpha (TNF alpha) plays a crucial role in inflammatory diseases such as rheumatoid arthritis and postmenopausal osteoporosis. Recently, it has been demonstrated that hydrogen gas, known as a novel antioxidant, can exert therapeutic anti-inflammatory effect in many diseases. In this study, we investigated the effect of treatment with hydrogen molecule (H-2) on TNF alpha-induced cell injury in osteoblast. The osteoblasts isolated from neonatal rat calvariae were cultured. It was found that TNF alpha suppressed cell viability, induced cell apoptosis, suppressed Runx2 mRNA expression, and inhibited alkaline phosphatase activity, which was reversed by co-incubation with H-2. Incubation with TNF alpha-enhanced intracellular reactive oxygen species (ROS) formation and malondialdehyde production increased NADPH oxidase activity, impaired mitochondrial function marked by increased mitochondrial ROS formation and decreased mitochondrial membrane potential and ATP synthesis, and suppressed activities of antioxidant enzymes including SOD and catalase, which were restored by co-incubation with H-2. Treatment with H-2 inhibited TNF alpha-induced activation of NF kappa B pathway. In addition, treatment with H-2 inhibited TNF alpha-induced nitric oxide (NO) formation through inhibiting iNOS activity. Treatment with H-2 inhibited TNF alpha-induced IL-6 and ICAM-1 mRNA expression. In conclusion, treatment with H-2 alleviates TNF alpha-induced cell injury in osteoblast through abating oxidative stress, preserving mitochondrial function, suppressing inflammation, and enhancing NO bioavailability.