The spray formation and breakup process in an open-end swirl injector were studied through experiments and numerical simulations. A high-speed shadowgraph system and a high-speed backlight system were adopted to record the spray. Volume of fluid was used as the interface tracking method to capture the evolution process. The filling process of the liquid film inside the injector was captured. The air core formation process as observed in the experiments differed from that depicted by the numerical simulation results. The results revealed that the spray pattern of the cross-section at the tangential inlets also varied during the filling process. The evolution of the holes on the liquid film and ligaments was observed. It was determined that the liquid sheet repeatedly exhibited thinning, instability, shedding, breakup, and coalescence in the spray formation and breakup process. The spray pattern underwent the distorted pencil stage, onion stage, tulip stage, and fully developed stage with the increased injection pressure drop. The formation process of the open-end swirl injector also underwent these four stages under an injection pressure drop of 0.5 MPa.