The district has an area of 5408.23 km². Hoshangabad district is bounded by the districts of Raisen to the north, Narsinghpur to the east, Chhindwara to the southeast, Betul to the south, Harda to the west, and Sehore to the northwest. In 1998, the western portion of Hoshangabad District was split off to become Harda District.