In December 2022, the United States (US) experienced an extreme cold event. Its duration was 5 days, and it ranked third in intensity (−9.16 °C) during the period from 1979 to 2022. During the Early Stage (12–16 December), the surface air temperature (SAT) anomaly peaked at 2.98 °C. In the Development Stage (17–21 December), cold air moved towards North America (NA). This event reached its peak during the Outbreak Stage (22–26 December), with a minimum SAT anomaly of −9.16 °C. Concurrently, high pressure occurred in Alaska and the Archipelago region, while low-pressure centers occurred in the US. The U-component of wind (U-wind) was in a negative anomaly in the northern part of NA. The negative anomaly of the V-component of wind (V-wind) moved southward. These atmospheric structural changes facilitated the southward movement of cold air from the Arctic to NA. Furthermore, a positive (negative) U-wind anomaly was observed to obstruct (promote) the southward progression of cold air to NA. A linear regression analysis indicated that a negative Arctic Oscillation (AO) correlated with the accumulation of cold air in the Arctic, while a positive Arctic High led to the transport of cold air to NA. In an empirical orthogonal function (EOF) analysis, EOF1 (16.3%) was characterized by a warm Arctic and cold northern part of NA pattern, reflecting the cold air from the Arctic region moving southward into NA, while EOF2 (14.4%) depicted a cold Arctic and cold NA pattern, characterizing the outbreak of cold events in the US. In January 2024, the US experienced another extreme cold event. Its maximum intensity was −9.50 °C, and its duration was 8 days. The course of the two cold events was very similar.