A tire puncture sealant according to the present technology is a tire puncture sealant containing a latex and/or an emulsion and an anti-freezing agent, the latex and/or emulsion containing, as solids, at least a polymer and/or an organic compound (other than the polymer), a content of solids being from 20 to 65% by mass with respect to the total mass of the sealant, and the difference between the specific gravity of the solids and the specific gravity of a mixture of water and anti-freezing agent in the tire puncture sealant being within ±0.1.