Storm surges represent a prominent and significant natural hazard in the coastal areas of China and cause substantial human and economic losses. We investigated historical storm surge events in these areas to assess the distribution of associated hazards and to construct a storm surge hazard index. The tide-gauge data from 83 observational stations along the Chinese coast were collected, and the assessment was based on two indicators, namely the storm surge height and the exceeded water warning level of these events. Further, we conducted a vulnerability assessment of coastal counties in China using population and economic distribution data. Thereafter, the distribution of storm surge hazards and vulnerability levels was considered, and we determined the county-level risk of storm surges covering 219 coastal counties in China. The findings revealed substantial spatial variations therein, with high-risk areas in terms of the population and economic effects of such surges accounting for 25.1% (55/219) and 27.4% (60/219) of all coastal counties, respectively. These results provide preliminary insight into storm surge risks in China and have implications for the prevention and mitigation of storm surges for central government.