Exploring the spatial pattern and development strategies of urbanization from the perspective of the multi-dimensional coordination of population, economy, and land is the key to solving the problems of the urban-rural gap and human-land contradiction. This paper analyzed the spatial agglomeration of population, economy, and construction land area growth rates and explored their coordinated development in Chinese prefecture-level cities from 2010 to 2020 by using the spatial autocorrelation model, elasticity coefficient model, and coupling coordination model. The results are as follows: (1) China's population, economy, and construction land area were all growing, with the highest economic growth and the lowest population growth, and most prefecture-level cities in central and northeastern China had negative population growth. (2) The growth rates of the population, economy, and construction land in Chinese prefecture-level cities had significant positive spatial clustering characteristics; the spatial agglomeration of the economy was the most prominent and the high-value areas were mainly concentrated in western China. (3) The elasticity coefficients between the population, economy, and construction land in most Chinese prefecture-level cities indicate uneven development of urbanization, manifested as population growth lagging behind construction land expansion and further lagging behind economic development. (4) More than 56% of Chinese prefecture-level cities have uncoordinated development among the population, economy, and construction land mainly distributed in northeast China and central China. The results can provide references and decision-making support for promoting the sustainable development of China's new urbanization.