The invention discloses a true triaxial real-time scanning CT (Computed Tomography) test device and method for a high-pressure hard rock fracture process. The device comprises a rigid frame, a rigid cross beam, a cross beam lifting guide vertical column, a a cross beam lifting driving oil cylinder, upper and lower loading bases, upper and lower base rotary driving platforms, a high-energy accelerator CT ray source, a high-energy accelerator CT detection source, and four actuators, wherein the upper loading base and the lower loading base are each provided with two actuators, the four actuatorsare integrally distributed in a 45-degree inclined mode, a supporting cylinder is matched between the upper loading base and the lower loading base to form a pressure chamber, the pressure chamber islocated between the CT ray source and the detection source, and the pressure chamber can horizontally rotate by 360 degrees. The method comprises the following steps of: preparing a sample assembly,scanning the vacant pressure chamber through CT equipment, and providing reference data for subsequent image processing; placing the sample assembly in the pressure chamber, and controlling the rigidcross beam to descend until the pressure chamber is closed; centering and clamping the sample assembly, rotating the pressure chamber, and acquiring a three-dimensional image of the sample through theCT equipment; and applying a true triaxial stress, rotating the pressure chamber, and acquiring three-dimensional images of the sample under various stress conditions through the CT equipment.