Soil quality is an indicator of the ability to ensure ecological security and sustainable soil usage. The effects of long-term straw incorporation and different irrigation regimes on the yield and soil quality of paddy fields in cold regions remain unclear. This study established four treatments: controlled irrigation + continuous straw incorporation for 3 years (C3), controlled irrigation + continuous straw incorporation for 7 years (C7), flooded irrigation + continuous straw incorporation for 3 years (F3), and flooded irrigation + continuous straw incorporation for 7 years (F7). Analysis was conducted on the impact of various irrigation regimes and straw incorporation years on the physicochemical characteristics and quality of the soil. The soil quality index (SQI) for rice fields was computed using separate datasets for each treatment. The soil nitrate nitrogen, available phosphorus, soil organic carbon, and soil organic matter contents of the C7 were 93.51%, 5.80%, 8.90%, and 8.26% higher compared to C3, respectively. In addition, the yield of the C7 treatment was 5.18%, 4.89%, and 10.32% higher than those of F3, C3, and F7, respectively. The validity of the minimum data set (MDS) was verified by correlation, Ef and ER, which indicated that the MDS of all treatments were able to provide a valid evaluation of soil quality. The MDS based SQI of C7 was 11.05%, 11.97%, and 27.71% higher than that of F3, C3, and F7, respectively. Overall, long-term straw incorporation combined with controlled irrigation increases yield and soil quality in paddy fields in cold regions. This study provides a thorough assessment of soil quality concerning irrigation regimes and straw incorporation years to preserve food security and the sustainability of agricultural output. Additionally, it offers a basis for soil quality diagnosis of paddy fields in the Northeast China.