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The film received mixed reviews from critics. As of 28 March, 2010, the review aggregator Rotten Tomatoes reported that 49% of critics gave the film positive reviews, based on 172 reviews (53% of positive reviews for their "Top Critics" designation, based on 40 reviews) — with the consensus that "Sex and the City loses steam in the transition to the big screen, but will still thrill fans of the show."

Metacritic gave the film a normalized average score of 53% based on 38 reviews.

Brian Lowry of Variety said the film "...feels a trifle half-hearted", while Carina Chocano of the Los Angeles Times stated "[the film] tackles weighty issues with grace but is still very funny". She praised Michael Patrick King's work saying very few movies "are willing to go to such dark places while remaining a comedy in the Shakespearean sense".

Colin Bertram of the New York Daily News dubbed the film a "great reunion", and was happy with the return of "The 'Oh, my God, they did not just do that!' moments, the nudity, the swearing, the unabashed love of human frailty and downright wackiness".

The Chicago Tribune'''s Jessica Reeves described it as "Witty, effervescent and unexpectedly thoughtful."

Michael Rechtshaffen at The Hollywood Reporter praised the performances of the four leading ladies and said the film kept the essence of the series, but resembled a super-sized episode.

Manohla Dargis of The New York Times found the film "a vulgar, shrill, deeply shallow — and, at 2 hours and 22 turgid minutes, overlong — addendum to a show", while The Daily Telegraph's Sukhdev Sandhu panned the film saying "[the ladies] have become frozen, Spice Girls-style types - angsty, neurotic, predatory, princess - rather than individuals who might evolve or surprise us". Rick Groen of The Globe and Mail slammed the film commenting on lack of script and adding that the characters "don't perform so much as parade, fixed in their roles as semi-animated clothes hangers on a cinematic runway". He gave the film zero stars out of four. Anthony Lane, a film critic for The New Yorker since 1993, called the film a "superannuated fantasy posing as a slice of modern life"; he noted that "almost sixty years after All About Eve, which also featured four major female roles, there is a deep sadness in the sight of Carrie and friends defining themselves not as Bette Davis, Anne Baxter, Celeste Holm, and Thelma Ritter did—by their talents, their hats, and the swordplay of their wits—but purely by their ability to snare and keep a man....All the film lacks is a subtitle: "The Lying, the Bitch, and the Wardrobe."

Ramin Setoodeh of Newsweek speculated that some of the criticism for Sex is derived possibly from sexism: "when you listen to men talk about it (and this is coming from the perspective of a male writer), a strange thing happens. The talk turns hateful. Angry. Vengeful. Annoyed...Is this just poor sportsmanship? I can't help but wonder—cue the Carrie Bradshaw voiceover here—if it's not a case of 'Sexism in the City.' Men hated the movie before it even opened...Movie critics, an overwhelmingly male demographic, gave it such a nasty tongue lashing you would have thought they were talking about an ex-girlfriend...The movie might not be Citizen Kane—which, for the record, is a dude flick—but it's incredibly sweet and touching."

The movie featured on worst of 2008 lists including that of The Times, Mark Kermode, The New York Observer, The Tart and The Daily Telegraph.