The internal coupled electromagnetic melt treatment (ICEMT) method is firstly proposed to produce high-quality and large-sized aluminum alloy billets. A three-dimensional model was established to describe the ICEMT process of direct chill casting (DC casting). The effect of ICEMT on the fluid flow patterns and temperature field in the DC casting of ϕ880 mm AA2219 billets is numerically analyzed. Moreover, the mechanisms of the ICEMT process on grain refinement and macrosegregation were discussed. The calculated results indicate that the electromagnetic field appears to be coupled circinate at the cross section of the melt, the fluid flow becomes unstable accompanied by the bias flow, and the temperature profiles are significantly more uniform. An experimental verification was conducted and the results prove that compared with traditional direct chill casting, the microstructures of the AA2219 large-scale billet under the ICEMT process are uniform and fine.