Oil-based drilling fluids (OBDFs) have a strong wellbore stabilization effect, but little attention has been paid to the formation damage caused by oil-based drilling fluids based on traditional knowledge, which is a problem that must be solved prior to the application of oil-based drilling fluid. For ultradeep fractured tight sandstone gas reservoirs, the reservoir damage caused by oil-based drilling fluids is worthy of additional research. In this paper, the potential damage factors of oil-based drilling fluids and fractured tight sandstone formations are analyzed theoretically and experimentally. The damage mechanism of oil-based drilling fluids for fractured tight sandstone gas reservoirs is analyzed based on the characteristics of multiphase fluids in seepage channels, the physical and chemical changes of rocks, and the rheological stability of oil-based drilling fluids. Based on the damage mechanism of oil-based drilling fluids, the key problems that must be solved during the damage control of oil-based drilling fluids are analyzed, a detailed description of formation damage characteristics is made, and how to accurately and rapidly form plugging zones is addressed. This research on damage control can provide a reference for solving the damage problems caused by oil-based drilling fluids in fractured tight sandstone gas reservoirs.