The market share of blade batteries is rising rapidly due to their high energy density, efficient space utilization, and low cost. Nevertheless, effective cooling solutions for blade batteries are crucial to ensure the safe operation of electric vehicles, especially in extreme high-temperature environments. This paper numerically investigates the effects of a cooling plate and the blade battery parameters on maximum battery temperature, maximum temperature difference, and cooling water pressure drop. Additionally, the energy efficiency of these solutions under various cooling demands is analyzed. The numerical results show that increasing the channel number and changing the flow direction does not significantly improve the cooling performance of the cooling plate. Moreover, the effect of cooling water temperature on the maximum temperature difference in blade batteries is negligible. Furthermore, increasing the cooling water mass flow rate and the rotational speed of the cooling fan is preferred when Tmax − Ta > 6 K, while reducing the cooling water temperature is more energy-efficient when Tmax − Ta < 6 K. These results are expected to offer theoretical guidance and data support for designing cooling systems for blade batteries in extreme high-temperature environments.