We predict a half-quantized mirror Hall effect induced by mirror symmetry in strong topological insulator films. These films are known to host a pair of gapless Dirac cones in the first Brillouin zone associated with surface electrons. Our findings reveal that mirror symmetry assigns a unique mirror parity to each Dirac cone, resulting in a half-quantized Hall conductance of \(\pm \! \frac{{e}^{2}}{2h}\) for each cone. Despite the total electrical Hall conductance being null due to time-reversal invariance, the difference in the Hall conductance between the two cones yields a quantized Hall conductance of \(\frac{{e}^{2}}{h}\) for the difference in mirror currents. The effect of helical edge mirror current - a crucial feature of this quantum effect - may, in principle, be determined by means of electrical measurements. The half-quantum mirror Hall effect reveals a type of mirror-symmetry induced quantum anomaly in a time-reversal invariant lattice system, giving rise to a topological metallic state of matter with time-reversal invariance.