The disposal and utilization of solid waste of coal gangue is one of the main problems in coal mining in China. Injecting coal gangue into goaf in the form of slurry can effectively solve the problems of ground stacking and environmental pollution prevention. In order to obtain the flow law of gangue slurry in the void of the accumulated rock in the goaf, a visualization simulation test device for gangue slurry permeation grouting in the goaf was independently designed. The flow and diffusion characteristics, flow and diffusion velocity changes, void pressure changes, and viscosity changes of three mass concentrations (76%, 78%, 80%) of gangue slurry in the void between caved rock blocks in goaf were studied by visual grouting simulation test. The results show that: (1) The seepage process of gangue slurry in the goaf simulation test is divided into three diffusion forms, namely radial diffusion, axial diffusion, and bidirectional diffusion. The three diffusion forms are interrelated and inseparable. (2) The initial flow velocity of the slurry with different concentrations is different under the same permeation grouting pressure, and the higher the slurry concentration, the smaller the initial flow velocity of the slurry. The velocity of the slurry has a nonlinear relationship with the diffusion distance of the slurry. (3) With the permeation and diffusion of slurry, pressure sensors at different positions are subjected to pressure from bottom to top and enter the pressure boost stage, gradually forming stress peaks. When the slurry exceeds the position of the pressure sensor, the pressure on the pressure sensor is weakened and begins to enter the pressure relief stage, and the stress decline trend gradually becomes gentle with time. (4) The water loss effect occurs during slurry flow interaction with rock mass, resulting in slurry viscosity increasing. The viscosity of the slurry affects the difference in the amount of viscosity change. The research results can provide a certain theoretical basis for the goaf gangue slurry filling project.