Abstract: The Pinghu slope belt in the Xihu sag of the East China Sea Shelf Basin (ECSSB) is a crucial hydrocarbon production area in eastern China. However, due to the complex geological conditions, publications lack comprehensive research on the spatial-temporal coupling relationships of primary factors that impact hydrocarbon accumulation in the Pinghu slope belt. Furthermore, the hydrocarbon distribution patterns and the controlling factors across different study areas within the same slope belt are not yet fully understood. This study extensively utilized three-dimensional seismic data, well logging data, geochemical analysis, fluorescence analysis, and oil testing and production data to address these issues. Following a “stratification and differentiation” approach, the study identified seven distinct hydrocarbon migration and accumulation units (HMAU) in the Pinghu slope area based on the structural morphology characteristics, hydrocarbon source-reservoir-cap rock patterns, hydrocarbon migration pathways, and hydrocarbon supply range. Detailed analysis was conducted to examine the hydrocarbon distribution patterns and controlling factors within each migration and accumulation unit across different structural units, including high, medium, and low structural components. All data sources support a “southern‒northern sub-area division, eastern‒western sub-belt division, and variations in hydrocarbon accumulation” pattern in the Pinghu slope belt. The degree of hydrocarbon accumulation is controlled by the factors of structural morphology, hydrocarbon generation potential of source rocks, the spatial position of source slopes, fault sealing capacity, and sand body distribution. Furthermore, different coupling patterns of faults and sand bodies play a pivotal role in governing hydrocarbon enrichment systems across various migration and accumulation units. These observations indicate that three hydrocarbon accumulation patterns have been established within the slope belt, including near-source to far-source gentle slope with multiple hydrocarbon kitchens in the XP1−XP4 zones, near-source to middle-source gentle slope with dual-hydrocarbon kitchens in the XP5 zone, and near-source steep slope with a single hydrocarbon kitchen in the XP6−XP7 zones. These findings contribute to enhancing the theoretical system of hydrocarbon accumulation in the slope belt.