The present paper determines collapse moments of pressurized 30°–180° pipe bends incorporated with initial geometric imperfection under out-of-plane bending moment. Extensive finite element analyses are carried out considering material as well as geometric nonlinearity. The twice-elastic-slope method is used to determine collapse moment. The results show that initial imperfection produces significant change in collapse moment for unpressurized pipe bends and pipe bends applied to higher internal pressure. The application of internal pressure produces stiffening effect to pipe bends which increases collapse moment up to a certain limit and with further increase in pressure, collapse moment decreases. The bend angle effect on collapse moment reduces with the increase in internal pressure and bend radius. Based on finite element results, collapse moment equations are formed as a function of the pipe bend geometry parameters, initial geometric imperfection, bend angle, and internal pressure for elastic-perfectly plastic material models.