The Carboniferous–Permian, coal-bearing, sedimentary succession on the eastern edge of the Ordos Basin in the Shilounan Block contains large accumulations of hydrocarbon resources. During the exploration of coalbed methane and tight sandstone gas in the study area, multiple drilling wells in the tight sandstone reservoirs have yielded favorable gas logging results. The Benxi, Taiyuan, Shanxi, Shihezi, and Shiqianfeng formations contain multiple sets of sandstone reservoirs, and the reservoir quality and the controlling factors of its tight sandstones were affected by sedimentation, diagenetic alteration, and pore structure. This study comprehensively examines the sedimentary environment, distribution of sand bodies, and physical characteristics of tight sandstone reservoirs through drilling, coring, logging, and experimental testing. The results indicate that the Carboniferous–Permian tight sandstones are mainly composed of lithic sandstone and lithic quartz sandstone. The reservoir quality is relatively poor, with an average permeability of 0.705 mD and porosity of 6.20%. The development of reservoirs in the study area is primarily influenced by diagenesis and sedimentation. Compaction and cementation, which are destructive diagenetic processes, significantly reduced the porosity of the sandstone reservoirs in the study area. Compaction primarily causes a reduction in porosity and accounts for over 70% of the overall decrease in porosity. Dissolution, as a constructive diagenetic process, has a limited effect on porosity and is the primary reason for the relatively tight nature of these reservoirs. The macroscopic and microscopic characteristics of tight sandstone reservoirs were used to establish the evaluation and classification criteria, after which the sandstone reservoirs in the study area were divided into three types. The poor quality type II and type III reservoirs are predominant, while high quality type I reservoirs are primarily limited to the Shihezi Formation.