The complex mechanical environment of deep coal and rock masses leads to obvious changes on their dynamic mechanical properties. However, there are few reports on the dynamic mechanical properties of rocks under the combined action of medium temperature (normal temperature ∼100°C) and static and dynamic loads. In this paper, a dynamic load and temperature combined action Hopkinson pressure bar experimental system is used to experimentally study the impact type of a fine sandstone under temperature conditions of 18°C, 40°C, 60°C, 80°C, and 100°C, an axial static load of 3 MPa, a gas chamber pressure of 0.06 MPa, and a constant temperature time of 4 h. The dynamic characteristics of the change law of the fine sandstone and the energy dissipation characteristics of the load process are analyzed, and the characteristic law of the fine sandstone surface response is analyzed using digital image correlation technology. Our results indicate the following. (1) Under conditions in which the other experimental conditions remain unchanged, the dynamic stress-strain of the fine sandstone presents a bimodal shape with a “rebound” phenomenon. Increasing temperature causes the peak strength of the fine sandstone to increase; however, the relative strength can increase or decrease. The relative increase in the strength is 1.14 MPa (°C) when the temperature increases from 40°C to 60°C, 0.15 MPa (°C) when the temperature increases from 60°C to 80°C, and 0.62 MPa (°C) when the temperature increases from 80°C to 100°C. (2) The digital image correlation results show that, under the action of a dynamic load stress wave, the fine sandstone experiences a displacement vector change on the sample surface; furthermore, under the combined action of the temperature and dynamic and static loads, the fine sandstone experiences macroscopic shear failure. The surface strain in the propagation direction of the stress wave is obviously higher and can even reach values of more than 10 times that of the strain in other directions. (3) From the perspective of energy dissipation, the incident energy, reflected energy, and dissipated energy of the fine sandstone under an impact load have the same change law. After being affected by a dynamic load, the energy rapidly increases to a certain value and then remains relatively stable. The transmitted energy is relatively small and can be approximated as a horizontal line. As the temperature increases, the incident energy, reflected energy, and dissipated energy tend to first decrease and then increase, and most of the incident energy in the fine sandstone is dissipated in the form of reflected waves.