Menurut media China total korban tewas adalah 134135 orang, 12 hilang dan 980 luka-luka; 120 orang tewas di [[Gansu]], sementara 11 tewas, 198 luka-luka dan 16 hilang di provinsi [[Qinghai]].<ref name="SOUTHCN">{{Cite news|date=19 December 2023|title=Rescuers battle sub-zero temperatures as more than 120 killed by China’s deadliest quake in nearly a decade|work=CNN|url=https://www.cnn.com/2023/12/18/americas/5-9-magnitude-earthquake-northwest-china/index.html |language=en |access-date=19 December 2023}}</ref><ref>{{Cite news |last=Jiazhang |first=Zhu |date=20 December 2023 |work=Xinhua News Agency |trans-title=Setidaknya 134 orang tewas dan 150,000 rumah hancur|title=至少134人死亡逾700傷多人失聯15萬房屋損毀 |agency=HK01 |url=https://www.hk01.com/%E5%8D%B3%E6%99%82%E4%B8%AD%E5%9C%8B/972872/%E7%94%98%E8%82%85%E5%9C%B0%E9%9C%87-%E8%87%B3%E5%B0%91134%E4%BA%BA%E6%AD%BB%E4%BA%A1-%E9%80%BE700%E5%82%B7%E5%A4%9A%E4%BA%BA%E5%A4%B1%E8%81%AF-15%E8%90%AC%E6%88%BF%E5%B1%8B%E6%90%8D%E6%AF%80 |access-date=20 December 2023 }}</ref> Di [[Kabupaten Jishishan]], banyak rumah runtuh, menjebak puluhan orang didalamnya.<ref>{{Cite news|title=甘肃积石山县6.2级地震致房屋倒塌和人员被困 救援力量正赶赴震中|url=https://news.cctv.com/2023/12/19/ARTIdKfJMuvTmb0Jlj8zvHQU231219.shtml?spm=C73544894212.P99790479609.EogkW3VdRtw6.12|date=18 December 2023|access-date=18 December 2023|website=CCTV}}</ref><ref>{{cite news |title=积石山6.2级地震已致127人遇难 |trans-title=Jishishan magnitude 6.2 earthquake kills 127 people |url=http://www.news.cn/local/2023-12/19/c_1130035851.htm |access-date=19 December 2023 |agency=Xinhua News Agency |date=19 December 2023 |language=zh}}</ref>
Setidaknya 150,000 rumah rusak atau hancur. Di Kabupaten Jishishan, banyak rumah runtuh, banyak warga terjebak di tiga desa dekat Kota Dahejia. Layanan komunikasi, transportasi, listrik dan air terputus di beberapa desa.<ref>{{cite news |last1=Wei |first1=Aw Cheng |title=More than 110 killed in Gansu, north-western China, as 6.2-magnitude quake strikes near midnight |url=https://www.straitstimes.com/asia/east-asia/more-than-110-killed-in-gansu-north-western-china-as-62-magnitude-quake-strikes-near-midnight |access-date=19 December 2023 |agency=The Straits Times |date=19 December 2023}}</ref><ref>{{Cite news |date=18 December 2023 |title=甘肃积石山县6.2级地震致房屋倒塌和人员被困 救援力量正赶赴震中 |website=[[China Central Television]] |url=https://news.cctv.com/2023/12/19/ARTIdKfJMuvTmb0Jlj8zvHQU231219.shtml?spm=C73544894212.P99790479609.EogkW3VdRtw6.12 |access-date=18 December 2023}}</ref>
