In the background of global warming, heat wave disasters have become more frequent globally, and mountainous cities are more seriously affected by heat wave disasters due to the special features of topography and urban morphology. This paper analyzes the temporal and spatial distribution characteristics of heat wave disasters in Chongqing, a mountainous city. The results shows that heat wave disasters in Chongqing tend to increase overall and decrease locally before increasing. Significant growth in heat waves since 2010 and time series model prediction analysis shows that Chongqing will face more severe heat waves in the future. The spatial distribution of heat wave disasters varies significantly, high in the middle and low at the ends. There is a tendency for the center of heat wave disasters to shift from the south-central part of Chongqing to the northeast. In addition to the influence of atmospheric circulation and mountain topography, the causes are also positively related to urban development intensity and urbanization trends. It is necessary to develop specific control and management measures for heat waves depending on the characteristics of them. The take-home message of the study is the spatial and temporal trends of heat waves in Chongqing to provide a theoretical basis for high-temperature mitigation.