This study aims to investigate the behavior of ground surface settlement in TBM double-line tunnels constructed under existing buildings and to devise a calculative representation for that behavior. Numerical simulation and field monitoring methods were used to examine the Zhongcong Tunnel in Chongqing Metro Line 9. The ground surface settlement was analyzed using an orthogonal test of 3D numerical simulation methods. The results showed that ground surface settlement was influenced by TBM tunneling parameters and the location of the existing building in the following manner. The existing building reduced the settlement trough width. Surface settlement was increased by frictional and palm surface thrust forces but reduced by grouting pressure. The settlement trough width of the first excavation iz correlated with that of the last excavation iy. To accommodate the influence of existing buildings, the tilt factor of the settlement trough TR was introduced to improve the formula for calculating the ground surface settlement of TBM double-line tunnels. The improved formula was validated by comparing the calculated results with actual measurements.