Sand production is a common issue in sandstone gas reservoir development, severely impacting the productivity of sandstone gas wells. In order to thoroughly investigate the sand production characteristics of high‐temperature and high‐pressure tight sandstone gas reservoirs, this study focuses on six core samples from tight sandstone gas reservoirs(three samples with fractures), under reservoir conditions (185 MPa, 160°C), sand production experiments were conducted to thoroughly investigate the sand production patterns in sandstone reservoirs under the combined influence of different effective stresses and production pressure differentials. The results indicate: (1) under the simultaneous increase of effective pressure and production pressure differential, sand production near the wellbore (r = 0.1 m) becomes more likely in the reservoir; (2) in actual reservoirs without fractures near the wellbore (r = 0.1 m), sand production phenomena do not occur; (3) reservoirs with fractures near the wellbore (r = 0.1 m) are more prone to sand production, under an effective stress of 90 MPa, with specimens containing fractures exhibiting a 76.48% lower critical sand production pressure gradient compared to those without fractures; (4) when the pore fluid pressure is 95 MPa, the maximum gas production rate for Well X without sand production is 12.4 × 104 m3/d. The experimental results have guiding significance for the rational production of gas wells in this type of reservoir.