Rapid industrialisation and urbanisation have moved contemporary civilization ahead but also deepened clashes with nature. Human society’s long-term evolution faces a number of serious problems, including the climate issue and frequent natural disasters. This research analyses the spatiotemporal evolution features of land use remote sensing data from 2005, 2010, 2015, and 2020. Under the Nature-based Solutions (NbS) idea, four scenarios are established: Business as Usual (BAU), Woodland Conservation (WLC), Arable Land Conservation (ALC), and Urban Transformation and Development (UTD). The RF–Markov–CA model is used to simulate the spatiotemporal patterns of land use for the years 2025 and 2030. Furthermore, the InVEST model is utilised to assess and forecast the spatiotemporal evolution features of carbon storage. The findings show that (1) the primary land use categories in the Three Gorges Reservoir Area (TGRA) from 2005 to 2020 are arable land and woodland. Arable land has a declining tendency, whereas woodland has an increasing–decreasing trend. (2) The WLC scenario exhibits the greatest growth in woodland and the lowest drop in grassland from 2020 to 2030, indicating a more stable ecosystem. (3) The TGRA demonstrates substantial geographic variation in carbon storage from 2005 to 2030, with a broad distribution pattern of “higher in the north, lower in the south, higher in the east, lower in the west, with the reservoir head > reservoir centre > reservoir tail”. (4) In comparison to the other three scenarios, the WLC scenario sees a slower development of construction and arable land from 2020 to 2030, whereas the ecological land area rises the highest and carbon storage increases. As a result, the WLC scenario is the TGRA’s recommended development choice. The study’s findings have substantial implications for the TGRA’s ecological preservation and management, as well as for the optimisation of ecosystem carbon cycling and the promotion of regional sustainable development.