Continued urban expansion (UE) has long been regarded as a huge challenge for climate change mitigation. However, much less is known about how UE affects carbon emissions (CEs), especially in the urban agglomerations of the Yellow River Basin (UAYRB), China. In this regard, this study introduced kernel density analysis, the Gini coefficient, and Markov chains to reveal the UE patterns and carbon emissions intensity (CEI) in the UAYRB at the county level, and explored the spatial heterogeneity of the impact of UE on CEI with the geographically and temporally weighted regression model. The results show that both CEI and UE in the UAYRB showed a steady growing trend during the study period. The kernel density of CEI and UE revealed that CEI in the UAYRB was weakening, while the UE rate continuously slowed down. The Gini coefficients of both CEI and UE in the UAYRB region were at high levels, indicating obvious spatial imbalance. The Markov transfer probability matrix for CEI with a time span of five years showed that CEI growth will still occur over the next five years, while that of UE was more obvious. Meanwhile, counties with a regression coefficient of UE on CEI higher than 0 covered the majority, and the distribution pattern remained quite stable. The regression coefficients of different urban landscape metrics on CEI in the UAYRB varied greatly; except for the landscape shape index, the regression coefficients of the aggregation index, interspersion and juxtaposition index, and patch density overall remained positive. These findings can advance the policy enlightenment of the high-quality development of the Yellow River Basin.