The integration of long-context capabilities with visual understanding unlocks unprecedented potential for Vision Language Models (VLMs). However, the quadratic attention complexity during the pre-filling phase remains a significant obstacle to real-world deployment. To overcome this limitation, we introduce MMInference (Multimodality Million tokens Inference), a dynamic sparse attention method that accelerates the prefilling stage for long-context multi-modal inputs. First, our analysis reveals that the temporal and spatial locality of video input leads to a unique sparse pattern, the Grid pattern. Simultaneously, VLMs exhibit markedly different sparse distributions across different modalities. We introduce a permutation-based method to leverage the unique Grid pattern and handle modality boundary issues. By offline search the optimal sparse patterns for each head, MMInference constructs the sparse distribution dynamically based on the input. We also provide optimized GPU kernels for efficient sparse computations. Notably, MMInference integrates seamlessly into existing VLM pipelines without any model modifications or fine-tuning. Experiments on multi-modal benchmarks-including Video QA, Captioning, VisionNIAH, and Mixed-Modality NIAH-with state-of-the-art long-context VLMs (LongVila, LlavaVideo, VideoChat-Flash, Qwen2.5-VL) show that MMInference accelerates the pre-filling stage by up to 8.3x at 1M tokens while maintaining accuracy. Our code is available at https://aka.ms/MMInference.