The 78 listed buildings in Sandbach include two at Grade I, two at Grade II* and the remainder at Grade II. By far the earliest listed structures are the two 9th-century Sandbach Crosses, recorded in the town in the mid-16th century and reinstalled in the Market Square in 1816. The other Grade-I-listed building is Old Hall Hotel, a timber-framed building dating from 1656, on the site of a former manor house. Another timber-framed building is the Grade-II*-listed Black Bear Inn, which dates from 1634. Several buildings in and around Sandbach are by the Victorian architect George Gilbert Scott, in the Tudor and Gothic Revival styles. These include Sandbach School and its lodge, the Literary Institute and a set of almshouses. He rebuilt the Grade-II*-listed St Mary's Church in Sandbach, and designed St John the Evangelist's Church in Sandbach Heath. Sandbach Town Hall and Market Hall (pictured) was designed by Thomas Bower in 1889.
The Trent and Mersey Canal runs through the parish and several listed buildings are associated with it, including bridges, locks, mileposts, accommodation for canal workers, a stable and ticket office, and a warehouse. More unusual listed structures include three war memorials, a drinking fountain and a telephone kiosk.