To avoid wrinkling and cross-sectional distortion in thin-walled tube bending, a novel bending process called tube press bending under gas internal pressure (abbreviated as TGPB) is proposed. In the TGPB process, internal pressure serves a supportive function and generates an additional tensile stress, which can reduce the axial compressive stress on the inner side of the bend, avoiding the occurrence of wrinkles and cross-sectional distortions. Compared with the previous tube bending technologies, the support pressure inside the tube will not change suddenly with the volume change of the tube cavity due to the compressibility of gas. It is suitable for thin-walled tube bending with large, variable axial curvatures and high strength as the shape of the target part is determined by the die cavity. A theoretical prediction model of critical support pressure for TGPB without wrinkling defects is established. The critical support pressure, wall thickness, and section distortion of tubes with different curvatures bent by TGPB are analyzed through FE simulations and experiments, and tubes with different material properties are also done through FE simulations. The results indicate that the tube can be stably bent to the desired shape under the predicted critical support pressure, which is significantly affected by the bending radius and material characteristics, increases with strength coefficient, and decreases with bending radius and strain hardening exponent. A high-strength steel prebending part with complex variable axial curvatures has been successfully formed by TGPB technology under a support pressure of 5 MPa; the minimum and maximum bending radii of which are 846 mm and 2373 mm, respectively.