Larix principis-rupprechtii Mayr (larch) is one of the main afforestation and timber production species used in North China. Climate change has led to a change in its suitable distribution and growth. However, the impact of climate change on its growth suitability is not clear. In this study, using forest resource inventory data and spatially continuous environmental factor data (temperature, precipitation, topography, and soil) in Hebei and Shanxi Provinces, China, the random forest model (RF) was used to simulate the larch site index (SI) and growth suitability under three shared socioeconomic pathways (SSPs: SSP1-2.6, SSP2-4.5, and SSP5-8.5) for the current and future (2021–2040, 2041–2060 and 2080–2100). The results revealed that (1) RF had excellent performance in predicting the regional SI (R2 = 0.73, MAE = 0.93 m, RMSE = 1.35 m); (2) the main factors affecting the productivity of larch were the mean temperature of the warmest quarter (BIO10), elevation (ELEV), mean diurnal range (BIO2), and annual precipitation (BIO12); and (3) larch currently had a higher SI in the Bashang areas and in the high-altitude mountains. The areas characterized as unsuitable, poorly suitable, moderately suitable, and highly suitable accounted for 15.45%, 42.12%, 31.94%, and 10.49% of the total area, respectively. (4) Future climate warming had an obvious inhibitory effect on the SI, and the effect strengthened with increasing radiation intensity and year. (5) The moderately suitable and highly suitable areas of larch growth showed a downward trend under future climate scenarios. By the end of this century, the suitable growth areas would decrease by 14.14% under SSP1-2.6, 15.17% under SSP2-4.5, and 19.35% under SSP5-8.5. The results revealed the impact of climate change on larch growth suitability, which can provide a scientific basis for larch forest management.