During coal mining operations, large quantities of coal gangue are generated as by-products. Improper disposal of these materials poses significant threats to ecological environments. With the evolution of China’s policy framework and research focus, the ecological management and utilization of coal gangue have garnered increasing attention. This study systematically analyzes the physicochemical properties of coal gangue samples from various regions across China, summarizing their primary chemical compositions and mineralogical types. Based on these findings, a regionally adaptive classification and utilization strategy is proposed. Results indicate that aluminous coal gangue, rich in high-aluminum minerals, is suitable for the production of aluminum-based products; sandstone coal gangue, predominantly composed of quartz, can be employed in construction materials and engineering applications; clayey coal gangue, abundant in clay minerals, is appropriate for brick manufacturing, cement production, and certain energy recovery processes; calcareous coal gangue, mainly containing dolomite, calcite, and magnesite, is suitable for power generation or fertilizer production. This research provides a scientific basis for precise classification and efficient resource utilization of coal gangue, contributing to the large-scale, green management of solid waste in mining areas under the “dual carbon” goals.