The application of ground heat exchanger technology in backfill mines can actualize subterranean heat storage, which is one of the most effective solutions for addressing solar energy faults such as intermittence and fluctuation. This paper provides a 3D unsteady heat transfer numerical model for full-size horizontal backfill heat exchangers (BFHEs) with five configurations in a mining layer of a metal mine by using a COMSOL environment. In order to ensure the fairness of the comparative analysis, the pipes of BFHEs studied have the same heat exchange surface area. By comparing and evaluating the heat storage/release characteristics of BFHEs in continuous operation for three years, it was discovered that the helical pipe with serpentine layout may effectively enhance the performance of BFHEs. Compared with the traditional SS BFHEs, the heat storage capacity of the S-FH type is significantly increased by 21.7%, followed by the SA-FH type, which is increased by 11.1%, while the performances of U-DH and SH type are considerably lowered. Also, the impact of the critical structural factors (pitch length and pitch diameter) was further studied using the normalized parameters C1 and C2 based on the inner diameter of the pipe. It is discovered that BFHEs should be distributed in a pipe with a lower C1, and increasing C2 encourages BFHEs to increase the storaged/released heat of BFHEs. By comparatively analysing the effect of thermal conductivity, it is found that the positive effects of thermal conductivity on the performance of SH, U-DH, SA-FH, and S-FH type BFHEs are found to decrease successively. This work proposes a strategy for improving the heat storage and release potential of BFHEs in terms of optimal pipe arrangement.