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At a Louisiana assisted-living home in 1999, retiree Paul Edgecomb becomes emotional while viewing the film Top Hat. His companion Elaine becomes concerned, and Paul explains to her that the film reminded him of events that he witnessed when he was an officer at Cold Mountain Penitentiary's death row, nicknamed "The Green Mile".

In 1935, Paul supervised Corrections Officers Brutus "Brutal" Howell, Dean Stanton, Harry Terwilliger, and Percy Wetmore, reporting to Warden Hal Moores. Percy, the nephew of the state governor's wife, demonstrates a sadistic streak but flaunts his family connections to avoid being held accountable. He is particularly abusive towards prisoner Eduard "Del" Delacroix, killing his pet mouse, Mr. Jingles.

Paul is introduced to John Coffey, a physically imposing but mild-mannered black man sentenced to death after being convicted of raping and murdering two young white girls. He joins Del and another condemned convict: Arlen Bitterbuck, the first to be executed. The officers are forced to deal with psychotic new inmate William "Wild Bill" Wharton, who frequently causes trouble by assaulting the officers and racially abusing John, forcing them to restrain him in the block's padded cell on more than one occasion.

After John heals Paul's severe bladder infection by touching him, and later resurrects Mr. Jingles, Paul gradually realizes that John possesses a supernatural ability to heal others. Paul doubts whether someone with the power to perform divine miracles is truly guilty of the crime.