Analysing the impact of landscape composition and structure on water quality at different scales is of great significance to water quality protection. The aim of this study was to determine scale-dependent impacts of land use/landscape patterns on water quality. The Ganjiang River, the largest water system in the Poyang Lake watershed, the largest freshwater lake in China. The response of water quality to land use and landscape patterns in the Ganjiang River watershed was explored based on land use and water quality data using redundancy and Spearman correlation analyses. Considering upstream monitoring of the entire Ganjiang River watershed; watersheds at the county level administrative region; and 1, 2, 5, 10, 15, 20, and 30 km-radius circular buffer zones, a total of nine scales of land use/landscape patterns that influence water quality in the Ganjiang River watershed were analysed. Results indicated that the county-level scale and the land use type of the 20 km-radius buffer zone upstream of the monitoring site were closely linked to water quality (96.28% and 93.23%, respectively). Among the land use types, construction land and cultivated land were the main output sources of pollutants. Regarding landscape pattern index, the greater the fragmentation of the landscape, the heavier was the water pollution load; the more the patches per unit area, the more stable was the ecosystem and the lower was the pollutant concentration. In addition, the eco-hydrological system of the Ganjiang River watershed was revealed to some extent through multi-angle analysis. These conclusions can serve as a reference for government departments to formulate land management and water quality protection measures.