When a black hole interacts with antimatter, any annihilation that occurs does not change the black hole's mass, as only particles can annihilate, converting their mass into energy. The mass of the black hole increases as the antimatter falls into it, but the overall mass remains unchanged due to the nature of black hole physics. Photons produced from annihilation carry energy and contribute to the stress-energy tensor inside the event horizon, but they are not massless in the conventional sense. The X-ray radiation observed from black holes is primarily emitted from the accretion disk, where matter is heated before crossing the event horizon. Understanding these interactions highlights the complex relationship between mass, energy, and black hole dynamics.