The Ob-Zaisan folded zone is a fragment of a single structure composed of Paleozoic sedimentary and volcanogenic rocks (mainly black shale), which was formed at the margin of the Siberian continent and features a common set of magmatic complexes and mineral systems. However, there are some differences that determine the specific geological and metallogenic features of the Irtysh-Zaisan and Kolyvan-Tomsk fragments of the Ob-Zaisan folded zone. In the gold deposits of the West Kalba and Kolyvan-Tomsk auriferous belt, the main gold-sulfide mineralization is controlled by zones of shearing and dynamic metamorphism in carbonaceous carbonate-terrigenous rocks. This type of mineralization was formed in tectonic blocks in a compressional setting. Antimony mineralization is characterized by brecciated textures and the vein-like morphology of ore bodies, reflecting extensional tectonics. At some deposits (Zherek, Mirazh, Dalny), Sb mineralization is spatially separated from the main gold-sulfide ores and shows cross-cutting relations to the principal ore-controlling structures. In other gold deposits, stibnite is spatially associated with disseminated gold-sulfide ores and forms mineral assemblages with Ni, Co, Au, Pb, and Fe (Alimbet, Zhanan, Legostaevskoe, Semiluzhenskoe, and Kamenskoe deposits). This study reveals no direct correlation between Au and Sb in gold-sulfide ores of these deposits. SEM analysis indicated the absence of free gold in stibnite veins. However, atomic absorption and electron microprobe analysis indicated the presence of “invisible gold” from a few ppm to several tens of ppm in the stibnite. High gold contents in the gold-sulfide ores overprinted by antimony mineralization (Suzdalskoe, Zhanan, and Legostaevskoe deposits) can be explained by the processes of regeneration and redeposition. The results of microstructural observations, isotope geochronology, studies of mineral assemblages and fluid inclusions in the ores from gold deposits of the Ob-Zaisan folded zone suggest that antimony mineralization was formed at gold-polysulfide stage, which was separated from the early ore pyrite-arsenopyrite stage by a 30 Ma time gap. It can be assumed that the essentially stibnite mineralization was formed at a separate stage and was separated from the gold-polysulfide mineralization by a 7 Ma interval of tectonic activity. Our Ar-Ar data on sericite from ore samples, combined with U-Pb data on zircons from igneous rocks and previous data from the literature show that there were two major stages of ore formation: the Early Permian (282-270 Ma) and the Early Triassic (250-240 Ma). Most researchers suggest that these stages of mineralization can be related to the epochs of intraplate magmatism that led to the formation of the Tarim (280 Ma) and Siberian (250 Ma) large igneous provinces. These global geological events are generally connected with the influence of Tarim and Siberian mantle plumes.