This paper illustrates the bipolarized effects theory of fossil energy exploitation and utilization and describes the methods for evaluating the positive，negative，and comprehensive effects of those processes. Based on data from 1985，1995，2005 and 2012，the authors evaluated these three types of effects on a provincial scale in China. The results indicated the following.（1）Between 1985 and 2012，the bipolarized effects of fossil energy exploitation and utilization were significant on the scale examined.（2）For most provinces during this period，the bipolarized effects of fossil energy exploitation and utilization were active;only three provinces（Beijing，Tianjin and Shanghai）exhibited relatively stable development.（3）From 1985 to 2012，there were three types of the comprehensive effect：benign development area，malignant development area，and irregular development area. Benign development areas included Beijing，Tianjin，Shanghai，Jiangsu，Zhejiang，Guangdong，Fujian，Hainan，Qinghai，Shandong，Anhui，Jiangxi，Chongqing and Sichuan;malignant areas included Hebei，Shanxi，Liaoning，Guizhou，Ningxia，and Xinjiang.（4）China’s high-value areas gradually aggregated in the Coastal Economic Belt and the Yangtze River Economic Belt from 1985 to 2012. These two economic belts were the implementation regions of the ‘T’-shaped strategy of the Chinese government.