The invention provides a test device and method for simulating ground access type shield tunnel excavation, and the test device comprises a model test groove, a shield segment model, a tunnel excavation device, a transmission system, an adjustable support system, a starting pedestal, a synchronous grouting system, and a monitoring quantity control system. The tunnel excavation device is composed of a steel sleeve with a cutting edge at the front end, a rotary cutting tool and a steel partition plate, and the adjustable support system comprises a counterfort type support, a steel truss base, anL-shaped rotating plate, a rotating shaft and a jack. The ground access type shield tunnel excavation process with a certain slope rate is simulated through the synergistic effect of the adjustable support system and the transmission system in combination with a simple tunnel excavation device for the first time and is closer to engineering practice, test working condition combinations of different excavation slopes and grouting amounts are set, the segment structure mechanical property, the soil body stress release rule and the stratum deformation mechanism of the ground access type shield tunnel are studied, and design and construction guiding can be realized.