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Coal and gas outburst is a kind of complex dynamic disaster with short duration and strong explosiveness, and the modes and strength of the outburst are determined by the in situ stress, gas pressure, and physical and mechanical properties of the coal mass. In this paper, the status quo of research on the mechanism of coal and gas outburst in China is described from three aspects: the controlling effect of single factor, the controlling effect of multi-factor, and new understandings of the outburst mechanism in recent years. Firstly, controlling factors of coal and gas outburst are classified for an in-depth analysis of the main factors of the same type of disasters, and the research progress and new understandings of the mechanism of coal and gas outburst are systematically sorted out. Secondly, the influencing factors of the strength coal mass are analyzed, and the related issues of coal mass strength on coal and gas outburst disaster mechanism are discussed. The results show that the stages of incubation, occurrence, development, and stop on coal and gas outburst are affected by the coupling effects of in situ stress field, gas pressure field, and seepage field, and the coal strength becomes an important factor affecting outburst strength under the same in situ stress and gas pressure. Therefore, the scientific and reasonable improvement methods of such similar simulation experiment devices are proposed according to the existing experimental methods and devices, which is of great significance to provide ideas for the continuous transferring to deep mining and preventing coal and gas outburst in China in the future.