Leisure and tourism spaces are shared by both residents and tourists seeking a higher quality of life. Most of the literature focuses only on the study of a particular type of leisure or tourism space in cities and lacks an overall exploration of the distribution patterns of urban leisure and tourism formats. Based on the leisure and tourism point of interest (POI) data of 11 districts in Xi’an, this paper uses geospatial analysis to examine the spatial patterns of leisure and tourism facilities and their influencing factors in Xi’an. It is found in this study that the distributions overall and the various types of leisure and tourism spaces in Xi’an show the characteristics of central urban agglomeration and sparse dispersion in the surrounding urban areas. Different types of leisure and tourism patterns have obvious spatial scale dependence, but there are differences in the scope of spatial selection. In general, the core agglomeration area has limited radiation and driving effects on the peripheral areas, and there is a prominent phenomenon of imbalance in the distribution of leisure and tourism facilities following a single industrial structure. The formation of the spatial patterns of leisure and tourism is the result of a combination of dominant factors, driving factors, safeguarding factors, and other triggering factors. Urban leisure and tourism spaces are intertwined, and the spatial balance and industrial diversification of leisure and tourism can be promoted through scientific spatial planning. This study aims to provide services for urban land planning and policy-making by revealing the spatial distribution principles of leisure and tourism sites in tourist cities as represented by Xi’an.