Although significant progress has been made in the geological theory and exploration and development of shale gas in China, the research on the geological particularity and enrichment regularity associated with shale gas accumulation remains weak. With this in mind, we analyzed the shale gas accumulation patterns in China. The findings show that: (1) A variety of organic-rich shales were deposited in the continental margin-type marine and transitional environments during the Pre-Mesozoic period and the basin-type terrestrial environment during the Mesozoic and Cenozoic eras. (2) The basins dominated by Mesozoic and Cenozoic terrestrial sediments superimpose on the Pre-Mesozoic continental margin-type marine–or transitional-facies sediments. The former developed the terrestrial shales with large thickness, high organic matter abundance, new age, and low thermal maturity; meanwhile, the deep parts of the basins are favorable for shale gas enrichment. However, the latter preserves the shale with old age, high thermal maturity, and undergoing multiphase tectonic movements; and the tectonically stable regions are favorable for shale gas enrichment. (3) The aulacogens mainly formed in the Meso-Neoproterozoic, Sinian-Ordovician, and Devon-Triassic periods are favorable for marine organic-rich shale deposition; moreover, this type of shale and other types including transitional facies shales with favorable reservoir-forming assemblages, coal-measure shales in small and medium-sized basins, and low-medium mature shales affected by magma intrusion, have jointly constituted the various shale gas accumulation patterns in China. (4) Based on the drilling discoveries in China, shale gas accumulation patterns can be categorized into two types: tectonic-controlled and stratigraphic-controlled. The former is mainly related to structural features, whereas the latter is mainly related to the variation of lithology and strata. (5) Shale development and gas content are mainly affected and controlled by geological factors including sedimentation, diagenesis, and later tectonic movements. Favorable sedimentary environments, appropriate thermal maturity, good sealing capacity of caprock, and excellent structural preservation are the necessary conditions for shale gas enrichment.