To explain the impact of geological and process factors on underground coal gasification in deep coal seam (>2200 m) and promote the efficient and clean extraction and conversion of coal, this study employs the orthogonal experimental design method to investigate the impact of CO2 coefficient (0–1), moisture content (30–80 wt%), calcite content (0–10 wt%), albite content (0–10 wt%), kaolinite content (0–20 wt%), reaction temperature (550–650 °C), and reaction pressure (23–27 MPa) on the characteristics of coal underground gasification under supercritical H2O/CO2 conditions. Furthermore, range analysis and variance analysis are utilized to determine the degree of influence of each factor and the interaction between factors. Finally, the Gibbs free energy minimization method is used to conduct a thermodynamic equilibrium analysis of coal supercritical H2O/CO2 gasification at high temperatures (750–1000 °C). The results indicate that the three most significant factors affecting the process of coal supercritical H2O/CO2 gasification are the CO2 coefficient, moisture content, and reaction temperature. The maximum carbon gasification efficiency at 650 °C in experimental cases and 1000 °C in simulation cases is 22.2% and 88.1%, respectively. Although the addition of CO2 at lower temperatures reduces the carbon gasification efficiency, at high temperatures (>900 °C), a higher initial CO2 concentration increases the carbon gasification efficiency. The addition of CO2 under conditions of low moisture content increases the mole fraction of H2, but reduces it under conditions of high moisture content (≥70 wt%). Among the three minerals, calcite has the most significant influence on the gasification process.