Aligning large generative models with human feedback is a critical challenge. In speech synthesis, this is particularly pronounced due to the lack of a large-scale human preference dataset, which hinders the development of models that truly align with human perception. To address this, we introduce SpeechJudge, a comprehensive suite comprising a dataset, a benchmark, and a reward model centered on naturalness--one of the most fundamental subjective metrics for speech synthesis. First, we present SpeechJudge-Data, a large-scale human feedback corpus of 99K speech pairs. The dataset is constructed using a diverse set of advanced zero-shot text-to-speech (TTS) models across diverse speech styles and multiple languages, with human annotations for both intelligibility and naturalness preference. From this, we establish SpeechJudge-Eval, a challenging benchmark for speech naturalness judgment. Our evaluation reveals that existing metrics and AudioLLMs struggle with this task; the leading model, Gemini-2.5-Flash, achieves less than 70% agreement with human judgment, highlighting a significant gap for improvement. To bridge this gap, we develop SpeechJudge-GRM, a generative reward model (GRM) based on Qwen2.5-Omni-7B. It is trained on SpeechJudge-Data via a two-stage post-training process: Supervised Fine-Tuning (SFT) with Chain-of-Thought rationales followed by Reinforcement Learning (RL) with GRPO on challenging cases. On the SpeechJudge-Eval benchmark, the proposed SpeechJudge-GRM demonstrates superior performance, achieving 77.2% accuracy (and 79.4% after inference-time scaling @10) compared to a classic Bradley-Terry reward model (72.7%). Furthermore, SpeechJudge-GRM can be also employed as a reward function during the post-training of speech generation models to facilitate their alignment with human preferences.