You can and should be defining the value of x unconditionally if it will be used later in your code.
There are a few ways to do this:
On initialization
int x = 0;
Because this is outside the conditional (if), Java won't complain.
Add else clause to conditional
if (Math.random() < 0.5)
{
    x = 0;
    b = true;
} else 
{
    x = 1;
}
Because there is an else to this if, and both code paths initialize x, Java will also be happy with this.
Move your usage of the variable into the conditional block
Clearly the question has a minimally-reproducible example, not a full one, but if you only ever want to use the variable conditionally, then it belongs in the conditional block.
if (Math.random() < 0.5)
{
    x = 0;
    x++;
}
If you don't aren't conditionally using the variable, then you need to provide an integer value to use in case Math.random() >= 0.5, using one of the solutions above.