To systematically analyze the spatiotemporal heterogeneity, diurnal variation characteristics, and influencing factors of karst cave microclimate environments in Mahuang Cave, a cave in the Shuanghe Cave National Geological Park in Guizhou Province, China, was investigated. Monthly monitoring of meteorological and environmental parameters, such as wind speed, air pressure, humidity, and temperature indicators inside the cave and atmospheric temperature and precipitation outside the cave, was conducted from 2019 to 2021, as well as encrypted monitoring in August and December 2019. The results showed that: (1) The meteorological parameters of Mahuang Cave exhibited seasonal characteristics and cyclical interannual variation. Cave wind speed, relative humidity, and temperature were high in summer and autumn and lowest in winter, whereas cave air pressure was high in winter and low in summer. The atmospheric temperature outside the cave was the main controlling factor. (2) On a short time scale, the dewpoint and temperature of Mahuang Cave did not change significantly, and an abrupt change phenomenon occurred mostly around noon. The warm season was more sensitive than the cold season, and the closer to the entrance of the cave, the stronger the response. (3) In terms of spatial distribution, the overall microclimate factors of Mahuang Cave became increasingly stable and entered a constant state with the increasing depth of the cave passage. The related effects of cave morphology and structure, the physical environment of the cave passage, air movement, and groundwater dynamics were important factors leading to an abrupt change phenomenon in cave microclimates. Local meteorological conditions and cave geometry controlled the temporal variability and spatial heterogeneity of the cave microclimate environment.