As the top emitter of carbon dioxide worldwide, China faces a considerable challenge in reducing carbon emissions to combat global warming. Carbon emissions from coal consumption is the primary source of carbon dioxide emissions in China. The decomposition of the driving factors and the quantification of regions and industries needs further research. Thus, this paper decomposed five driving factors affecting carbon emissions from coal consumption in China, namely, carbon emission intensity, energy structure, energy intensity, economic output, and population scale, by constructing a Kaya-Logarithmic Mean Divisia Index (Kaya-LMDI) decomposition model with data on coal consumption in China from 1997 to 2019. It was revealed that the economic output and energy intensity effects are major drivers and inhibitors of carbon emissions from coal consumption in China, respectively. The contribution and impact of these driving factors on carbon emissions from coal consumption were analyzed for different regions and industrial sectors. The results showed that carbon emissions from coal consumption increased by 3211.92 million tons from 1997 to 2019. From a regional perspective, Hebei Province has the most significant impact on carbon emissions from coal consumption due to the effect of economic output. Additionally, the industrial sector had the most pronounced influence on carbon emissions from coal consumption due to the economic output effect. Finally, a series of measures to reduce carbon emissions including controlling the total coal consumption, improving the utilization rate of clean energy, and optimizing the energy structure is proposed based on China’s actual development.