Existing design guidelines for concrete hinges are focusing on serviceability limit states. Lack of knowledge about ultimate limit states was the motivation for this work. Experimental data are taken from a testing series on reinforced concrete hinges subjected to eccentric compression up to their bearing capacity. These tests are simulated using the finite element (FE) software Atena science and a material model for concrete implemented therein. The first simulation is based on default input derived from measured values of Young’s modulus and of the cube compressive strength of the concrete. The numerical results overestimate the initial stiffness and the bearing capacity of the tested concrete hinges. Therefore, it is concluded that concrete was damaged already before the tests. A multiscale model for tensile failure of concrete is used to correlate the preexisting damage to corresponding values of Young’s modulus, the tensile strength, and the fracture energy of concrete. This allows for identifying the preexisting damage in the context of correlated structural sensitivity analyses, such that the simulated initial stiffness agrees well with experimental data. In order to simulate the bearing capacity adequately, the triaxial compressive strength of concrete is reduced to a level that is consistent with regulations according to Eurocode 2. Corresponding FE simulations suggest that the ductile structural failure of concrete hinges results from the ductile material failure of concrete at the surface of the compressed lateral notch. Finally, Eurocode-inspired interaction envelopes for concrete hinges subjected to compression and bending are derived. They agree well with the experimental data.