Abstract: Taking 136 counties and municipalities in Shandong Province as the research objects,this paper designed a measurement and evaluation index system reflecting the development level of traditional Chinese medicine health tourism,and it used the entropy weight method,spatial autocorrelation,geographic detector and other research methods to study the characteristics and influencing factors of the spatial pattern of the development level of traditional Chinese medicine health tourism in Shandong Province. The results showed that:① from the perspective of development level,there were great differences in the development level of traditional Chinese medicine health tourism in 136 counties and municipalities in Shandong Province,which showing that the level in the east and central was higher than that in the west;② from the perspective of spatial correlation,the agglomeration characteristics of HH and LL were obvious,and the HH types were mainly distributed in Lixia District of Jinan,Shibei District of Qingdao and Muping District of Yantai. The LL type was concentrated in northwest Lu and northern Lu and parts of southwest Lu;③ from the perspective of influencing factors,GDP and highway and railway density were the top factors affecting county TCM health tourism in Shandong Province;Five factors including traditional medicine intangible cultural heritage were important factors affecting county TCM health tourism in Shandong Province.