Cerium-doped gadolinium aluminum gallium garnet (Ce3+:Gd3Al3Ga2O12, Ce3+:GAGG) ceramic is a promising scintillation material. In this study, Ce3+:Gd3Al3Ga2O12 scintillation ceramics were prepared by the one-step sintering of commercially available Gd2O3, Al2O3, Ga2O3, and CeO2 powders in a flowing oxygen atmosphere at 1600 °C by solid-phase reaction sintering. For all the Ce3+:Gd3Al3Ga2O12 ceramic samples doped with different amounts of Ce3+ doping, dense ceramics were obtained. The structure, photoluminescence, and scintillation properties of the Ce3+:Gd3Al3Ga2O12 ceramics have been investigated. The average grain size of samples sintered at 1600 °C is about 2 μm. The X-ray excitation luminescence peak is around 560 nm, which is consistent with that of Ce3+:Gd3Al3Ga2O12 single crystals, matching well with the computed tomography X-ray detector’s response sensitivity. The light yield is higher compared to the standard reference sample—lutetium yttrium orthosilicate single crystal.