The present study aimed to examine body image attitude in Chinese college students and related psychological consequences. A silhouette-matching test was administered to 425 college students in mainland China. Self-esteem, negative emotions, subjective well-being, and eating-disorder-related weight-controlling behaviors were also measured. Only 12.9% of the participants were satisfied with their figure and the extent of body image dissatisfaction was comparable for both sexes. The majority of the female participants indicated a preference to be more slender. Their ideal figure was underweight and was far smaller than the most attractive female figure chosen by male participants. For male participants, the proportion wanting a fuller figure was comparable to that wanting a slimmer figure. Among female participants, body image dissatisfaction negatively correlated with self-esteem and subjective well-being, and positively correlated with negative emotions. Drive for thinness correlated with eating-disorder-related weight-controlling behaviors not only for females, but also for males. Body image dissatisfaction, as a diagnostic feature for major subtypes of eating disorders, may signal serious concern among Chinese college students.