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Students’ academic achievement has been widely regarded as a key indicator of school or national education quality. While previous research has demonstrated the impact of school and family factors on academic outcomes, there has been limited exploration revealing these factors’ configurational mechanisms. This study employs panel data from 51 regions and four waves of PISA with DQCA methods to examine how school and family inputs influence academic achievements. The study finds academic achievement is influenced by multiple factors acting together. Five paths for high and three paths for low academic achievement are identified, and these paths show apparent temporal and case effects. The research provides empirical evidence to help regions identify educational development patterns and formulate scientifically grounded policies.