The thermal structure of the lithosphere is key to understanding its thickness, properties, evolution, and geothermal resources. Cratons are known for their low heat flow and deep lithospheric roots. However, present-day cratons in East China have geothermal characteristics that are highly complex, with variable heat flow values, diverging from the typical thermal state of cratons. In this study, we conducted a detailed analysis of the geothermal geological background of the cratons in East China, summarizing the thermal state and tectono-thermal processes of different tectonic units, calculating the temperature at various depths, and discussing differences in temperature and thermal reservoirs at different depths. The observed lithospheric thermal thickness within the North Jiangsu Basin and the Bohai Bay Basin is notably reduced in comparison to that of the Jianghan Basin and the Southern North China Basin. The phenomenon of craton destruction during the Late Mesozoic emerges as a pivotal determinant, enhancing the geothermal resource prospects of both the Bohai Bay Basin and the North Jiangsu Basin. Our findings contribute significantly to the augmentation of theoretical frameworks concerning the origins of heat sources in global cratons. Furthermore, they offer invaluable insights for the methodical exploration, evaluation, advancement, and exploitation of geothermal resources.