Estimating future short-duration extreme precipitation in mountainous regions is fundamental for risk management. High-resolution convection-permitting models (CPMs) represent the state of the art for these projections, as they resolve convective processes that are key to short-duration extremes. Recent observational studies reported a decrease in the intensity of extreme hourly precipitation with elevation. This “reverse orographic effect” could be related to processes which are subgrid even for CPMs. To quantify the reliability of future projections of extreme short-duration precipitation in mountainous regions, it is thus crucial to understand to what extent CPMs can reproduce this effect. Due to the computational demands however, CPM simulations are still too short for analyzing extremes using conventional methods. We use a non-asymptotic statistical approach (Simplified Metastatistical Extreme Value: SMEV) for the analysis of extremes from short time periods, such as the ones of CPM simulations. We analyze an ERA-Interim-driven Consortium for Small-Scale Modeling (COSMO-crCLIM, convection-resolving Climate Modelling) simulation (2000–2009; 2.2 km resolution), and we use hourly precipitation from 174 rain gauges in an orographically complex area in northeastern Italy as a benchmark. We investigate the ability of the model to simulate the orographic effect on short-duration precipitation extremes, as compared to observational data. We focus on extremes as high as the 20-year return levels. While overall good agreement is reported at daily and hourly duration, the CPM tends to increasingly overestimate hourly extremes with increasing elevation, implying that the reverse orographic effect is not fully captured. These findings suggest that CPM bias-correction approaches should account for orography. SMEV's capability of estimating reliable rare extremes from short periods promises further applications on short-time-period CPM projections and model ensembles.