A scheme to generate intense coherent light that carries orbital angular momentum (OAM) at the fundamental wavelength of an x-ray free-electron laser (FEL) is described. The OAM light is emitted as the dominant mode of the system until saturation provided that the helical microbunching imposed on the electron beam is larger than the shot-noise bunching that leads to self-amplified emission. Operating at the fundamental, this scheme is more efficient than alternate schemes that rely on harmonic emission, and can be applied to x-ray FELs without using external optical mode conversion elements.