Volcanogenic massive sulfide (VMS) deposits are widely distributed both geographically and temporally, occurring from ancient Archean cratons to modern submarine volcanic environments, with a notable surge during the Paleozoic era. The North Qilian orogenic belt in China is a prominent Paleozoic VMS metallogenic province, shaped by complex geological processes such as the opening of the Qilian Ocean, oceanic subduction, and arc-continent collision. Previous research has constrained the timing of VMS mineralization in the North Qilian to between 440 and 470 Ma, identifying two primary deposit types: Kuroko-type and Cyprus-type. However, ongoing debates persist regarding the classification and geodynamic framework of these VMS deposits. The recent surge in international research on VMS deposit classification and tectonic settings has prompted a reassessment of VMS mineralization within the North Qilian belt. This study revisits the geological and geochemical characteristics of VMS deposits in the region, identifying two distinct types: Mafic VMS deposits and Bimodal-Felsic VMS deposits. Furthermore, the metallogenic dynamics of the Shijuli, Jiugequan, and Baiyinchang deposits have been re-evaluated in the context of the structural evolution and contemporary interpretations in this area.