Cadmium (Cd) contamination is becoming a widespread environmental problem, and Cd toxicity risk is increasing in blueberries, typical acidophilous plants. However, studies on the physiological mechanisms of Cd toxicity affecting the growth of blueberry plants and fruits remain limited. Herein, a pot experiment involving four treatments, CK (0 mg·kg−1), Cd1 (2.5 mg·kg−1), Cd2 (15 mg·kg−1) and Cd3 (50 mg·kg−1), was conducted to investigate the effects of Cd stress on the growth, fruit quality, physiological characteristics, mineral composition and Cd uptake of 'Sharpblue' blueberry cuttings, and relationships between physicochemical indices and phenotypic data under Cd stress were analyzed via principal component analysis and Mantel's test. Compared with CK, Cd treatment led to chlorosis (decrease in SPAD and N content) in 'Sharpblue' leaves and inhibited increases in plant height, basal stem, crown width and biomass (dry weight), with the most significant changes in the 50 mg·kg−1 Cd treatment. The size and thickness of the upper epidermal cells, as well as the thickness of the palisade mesophyll and spongy tissues of 'Sharpblue' were significantly reduced at Cd > 15 mg·kg−1, while the density of stomata was significantly increased. Moreover, Cd stress reduced the yield (decrease in size and single-fruit weight) and quality (decrease in anthocyanin, flavonoid and total phenol content and increase in titratable acid content) of 'Sharpblue' fruits, and Cd content in fruit exceeded the Chinese food safety threshold of 0.05 mg·kg−1 when Cd > 15 mg·kg−1. The Cd enrichment capacity of different organs of 'Sharpblue' plants was in the following order: root > shoot > leaf > fruit, and the 50 mg·kg−1 Cd treatment significantly inhibited the uptake of Fe, Mn, Cu, and Zn. Additionally, 'Sharpblue' plants responded to H2O2 and malondialdehyde accumulation in different organs under Cd stress by regulating levels of osmoregulatory substances (soluble protein (SP), soluble sugar, and proline) and altering the activities of catalase, superoxide dismutase, ascorbic acid, and glutathione in the antioxidant system. Finally, correlation analysis revealed that Mg, Fe, Mn, Cu, Cd, H2O2, SP, SPAD, N, anthocyanin, titratable acid, flavonoids, and total phenols were strongly correlated with 'Sharpblue' growth, leaf and fruit phenotype under Cd stress. These findings provide theoretical information for soil safety management and the breeding of Cd-tolerant cultivars during blueberry cultivation, as well as for the study of Cd stress response mechanisms in acidophilous plants.