Four fire engines are parked outside the shop in Market Square, along with at least five ambulances.
The crash happened at about 10.30am.
Pictures show an Audi car embedded into the front of the coffee shop. It is not known how many people have been injured.
The vehicle was reportedly seen clipping cars before the crash at the cafe.
Kent, South East Coast Ambulance Service confirmed that at least one person had been killed.
Elle Akerman told Sky News: “I just saw an old man that was pressed against the car and an old woman outside who was crying and she had blood on her.
"I’ve heard there was a man who had a heart attack who was the driver.
"There was about 15 or 20 ambulances and the whole road has been shut off."
The Sevenoaks Chronicle reported that the Audi A4 was occupied by an elderly couple and its roof was cut off by firefighters.
Kent Fire and Rescue said it had released two people from the car and had five crews at the scene.
Some of the less severely injured are being cared for at the nearby Grasshopper on the Green pub.
Sources at the pub said they heard a "terrible noise".
Sally Pendleton passed the scene just a few minutes after the accident happened.
She told KentOnline: "There was a man still in the car - he seemed OK but a few people were hurt and in shock."
Another witness, Matt Jenner, said: "A car has driven into the side of Costa, the whole car is inside. Westerham is cut off. There are sirens everywhere."
Kent Police tweeted: "A witness centre has been set up at The Chequers public house in High St, #Westerham following this morning's collision in The Green."
Costa Coffee tweeted: "We're working w/ emergency services to offer all possible support. Thoughts are with families affected at this difficult time."
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