Vertical natural fractures (NFs) are prevalent in low-permeability sandstone reservoirs. Presently, the impact of NFs on the extension of hydraulic fractures (HFs) remains partially unveiled, which restricts the scientific development of strategies for low-permeability, fractured oil sandstones. In this study, taking the oil sandstone of the He-3 Member, Hetaoyuan Formation, southeastern Biyang Depression as an example, we conducted a comprehensive investigation into the factors influencing vertical fracture development and the interaction between natural and hydraulic fractures. The cohesive unit simulations indicate that geostress is the principal factor influencing HF expansion, more so than NFs, with this influence intensifying as natural fracture density increases. As natural fracture density grows, the potential for two sets of conjugate natural fractures to form short HFs arises, which are limited in expansion scope, suggesting a need to reduce well spacing accordingly. Conversely, areas with a single set of NFs are more prone to developing longer HFs, warranting an increase in well spacing to avoid water channeling. High natural fracture densities may constrain the effectiveness of HFs. In fractured reservoirs with a 10 MPa horizontal stress difference, the length of HFs is 1.52 times that of HFs with 0 MPa and 5 MPa differences. However, the hydraulic fracture effectiveness index (FE) of the latter is 1.74 times higher than the former. For fractured reservoirs, the expansion capacity of HF length within a 5 MPa horizontal stress difference remains relatively stable; beyond this threshold, the expansion capacity increases with the growing horizontal stress difference, and the fracturing effect eventually deteriorates. Furthermore, as the strength of NFs escalates, the length and modified area of HFs initially decrease significantly before stabilizing. The complexity and FE value of HFs formed under strong natural fracture conditions are heightened, indicating a more effective fracturing outcome.