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Mbale District is bordered by Sironko District to the north, Bududa District to the northeast, Manafwa District to the southeast, Tororo District to the south, Butaleja District to the southwest and Budaka District to the west. Pallisa District and Kumi District lie to the northwest of Mbale District. The coordinates of the district are:00 57N, 34 20E.

It has an area of 2,467 square kilometres (953 sq mi). Its central town and commercial centre is Mbale, which is also the location of the district headquarters. The districts of Bududa, Manafwa and Sironko were part of Mbale District before they were split off as independent districts of their own.