An effective quaternary copolymer inhibitor against calcium carbonate scaling in 120 °C geothermal fluids, with an inhibition ratio of over 95 %, was synthesized through aqueous free radical polymerization of itaconic acid (IA), acrylic acid (AA), hydroxy ethyl methacrylate (HEMA), and sodium allylsulfonate (SAS). The synthesis process involved using ammonium persulfate as an initiator and tert-butanol as the molecular weight regulator. A four-factor, three-level orthogonal experiment was conducted to optimize the synthesis process, resulting in a monomer ratio of m(IA):m(AA) = 1:7, 15 % initiator concentration, a reaction temperature of 90 °C, and a reaction time of 2.5 h. Fourier transform infrared spectroscopy (FT-IR) analysis revealed the presence of carboxyl, sulfonic acid, hydroxyl, and ester groups in the copolymer, while thermogravimetric analysis (TGA) confirmed its thermal stability. Scanning electron microscopy (SEM) and X-ray diffraction (XRD) examinations of calcium carbonate crystals indicated that the copolymer scale inhibitor caused significant damage to the surface morphology and crystal structure. This scaling inhibitor is useful for efficient geothermal energy utilization.