In conjunction with a pressurized water reactor (PWR) and a pressurizer configured to control pressure in the reactor pressure vessel, a decay heat removal system comprises a pressurized passive condenser, a turbine-driven pump connected to suction water from at least one water source into the reactor pressure vessel; and steam piping configured to deliver steam from the pressurizer to the turbine to operate the pump and to discharge the delivered steam into the pressurized passive condenser. The pump and turbine may be mounted on a common shaft via which the turbine drives the pump. The at least one water source may include a refueling water storage tank (RWST) and/or the pressurized passive condenser. A pressurizer power operated relief valve may control discharge of a portion of the delivered steam bypassing the turbine into the pressurized passive condenser to control pressure in the pressurizer.