Amid the increasingly severe global climate change situation, green technology innovation has become an important means to promote carbon reduction and achieve the transition to a low-carbon economy. This study aims to systematically analyze the relationship between green technology innovation and carbon emission performance in the urban agglomeration of the middle reaches of the Yangtze River, exploring the degree of coupling and coordination between different cities. Utilizing data from 2011 to 2021, we employ methods such as the Coupling Coordination Degree Model and fixed effects model to achieve our objectives. Our findings reveal that both green technology innovation and carbon emission performance in this region are on an upward trend; however, the growth rate of green technology innovation showed a slowdown in 2021. Notably, there are disparities in the coupling coordination degree among cities, with economically developed areas exhibiting a faster growth rate. Moreover, green technology innovation significantly enhances carbon emission performance, and heterogeneity tests indicate that this impact is even more pronounced in cities with weaker environmental regulations. Despite regional differences, the overall trend remains positive.