The relationship of particle size, reaction and sticking behavior of iron ore fines toward efficient fluidized bed hydrogen reduction were systematically investigated at 600–800 °C in a laboratory fluidized bed. First, the reduction kinetics were studied, and the results showed that hydrogen reduction of granulated iron ore was controlled by reduction reaction, and the activation energy was approximately 88.4 kJ/mol. The reduction rate of granulated iron ore with a diameter of 200 μm could be increased by 10 times as the reduction temperature rose from 600 to 800 °C. Then, a modified force balance model was established to distinguish the critical sticking point of granulated iron ore during high temperature fluidized bed hydrogen reduction, and it indicated that the defluidization temperature could be raised from 630 to 790 °C as the particle size was enlarged from 100 to 200 μm with a fluidization number of 10. Eventually, coupling the kinetic model and modified force balance model, the maximum gas utilization rate of fluidized bed hydrogen reduction was estimated, and it indicated that at reduction temperatures of 650–750 °C with particle sizes of 200–300 μm, the optimal gas utilization rate could be achieved, which was consistent with the experimental results. Contradictory to traditional understandings of chemical reaction engineering, due to the interaction of reduction performance and sticking behavior, too high of a reduction temperature or too small of a particle size might not be preferable for fluidized bed hydrogen reduction, and this study provided valuable references for industrial operation.