We present 88 Hα profiles for 24 pulsating variable stars with periods between 1 and 3 days in order to explore the behavior of this line in type II as compared with classical Cepheids. Surprisingly, large velocity differences were found between Hα and the metal lines in some type II Cepheids. Strong emission was observed in three stars, VZ Aql, NW Lyr, and V439 Oph, while line filling by incipient emission is present in seven others. All of the stars with emission and most with incipient emission belong to Diethelm's AHB2 class, and the emission is associated with the secondary bump on the rising branch of the light curve. Two stars, BF Ser and MQ Aql, show doubling of the core near maximum light, and asymmetry of the line is noted in some spectra.Based in part on observations obtained with the Apache Point Observatory 3.5 m telescope, which is owned and operated by the Astrophysical Research Consortium.