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Middle Tennessee is a distinct portion of the state of Tennessee, delineated according to state law as the 41 counties in the Middle Grand Division of Tennessee. Cumberland Region Tomorrow, Leadership Middle Tennessee, and the Nashville Chamber of Commerce all consider Middle Tennessee to consist of a smaller area of only ten counties.According to custom, Middle Tennessee consists of that portion of the state east of the Tennessee River's western crossing of the state (in which it flows northward back into Tennessee after having flowed through northern Alabama) and west of the dividing line between the Eastern and Central time zones. Exceptions to this rule are that Hardin County, which is located on both sides of the Tennessee River, is considered to be entirely in West Tennessee and that Bledsoe, Cumberland, Marion and Sequatchie counties are generally considered to be in East Tennessee despite being in the Central Time Zone. Also, the current legal definition places Sequatchie County in the middle grand division instead of the eastern division.

Middle Tennessee is known for its rolling hills and fertile stream valleys, as well as for its major city, Nashville, which is the state capital. Other major sizeable cities in Middle Tennessee include Clarksville and Murfreesboro. Politically, it has provided the Democratic Party with some of its leading statesmen, and still is largely inclined toward it, although an increasing Republican trend has been seen in the Nashville suburbs. Geographically it is composed predominantly of the Nashville Basin and the Highland Rim, although the western portion of the Cumberland Plateau also extends into Middle Tennessee.