The Lianhuashan Au deposit, located in the northern margin of North China Craton, is hosted in the metamorphic rocks of Neoarchean Wulashanyan Group along NNW- to N-trending faults, with pyrite as the predominant ore mineral. The mineralization process can be divided into four stages, involving stage I quartz-pyrite, stage II quartz-magnetite-chalcopyrite, stage III quartz-marcasite-pyrite, and stage IV quartz-calcite. Three types of fluid inclusions (FIs) have been identified, namely, pure carbonic inclusions (PC-type), aqueous-carbonic inclusions (AC-type), and aqueous inclusions (A-type). Stage I auriferous quartz veins host all three types of FIs, inclusions from stage II quartz are AC- and A-type, and only A-type FIs are recognized in stage III quartz and stage IV calcite veins. The FIs of stages I to IV were homogenized at temperatures of 300–360 °C, 275–326 °C, 252–289 °C, and 220–264 °C, with salinities of 4.0–11.7 wt%, 3.4–9.3 wt%, 2.1–7.0 wt%, and 1.4–3.1 wt% NaCl eqv., respectively. The ore-forming fluids belong to a medium-temperature, low-salinity H2O–NaCl–CO2 system. Gold deposition was likely caused by fluid immiscibility. The δDH2O and δ18OH2O values of ore fluids vary from −121.1 to −112.4‰ and from 2.8 to 6.2‰, respectively, within the range of enriched mantle-derived fluids in the North China Craton. The carbon isotope compositions of calcite (δ13CPDB = −2.87 to −2.38‰) show the features of mantle carbon. S-Pb isotope compositions of pyrite (δ34S = 2.58-3.96, 206Pb/204Pb = 16.077-16.119, 207Pb/204Pb = 15.329-15.332, and 208Pb/204Pb = 37.305-37.338) reveal that the ore-forming materials may have originated from crustal rocks. Based on the geological and geochemical observations, we suggest that the Lianhuashan deposit can be classified as an orogenic gold deposit.