Based on the production practice of medium carbon thin slabs in the CSP plant, the reasons and influencing factors for the formation of longitudinal cracks were investigated, and some industrial measures were taken to eliminate the cracks. The results show that the efficient solutions to reduce longitudinal cracks are improving the performance of the mold powder, stabilizing the mold heat flux, and maintaining a proper taper of the mold during casting. Proper pouring temperature and secondary cooling also play important roles in preventing longitudinal surface cracks.