As a crucial component of an opposed multi-burner (OMB) coal-water slurry gasifier, severe degradation of the refractory lining frequently results in costly operation delays. In this work, the morphology and damage evolution of the used high chromia refractory bricks in a gasifier were evaluated by experimental tests and numerical analysis to gain insight into the corrosion and degradation behavior of the refractory lining. The results indicated that the degradation of high chromia refractory bricks were mainly owing to the structural spalling caused by slag corrosion and thermal stress induced by temperature gradient. The stress cracks developed at the corroded interface provided a penetration pathway for slag and served as a sub-surface for further corrosion, resulting in additional corrosion and spalling. Furthermore, the formation of the composite spinel phase with a high thermal expansion coefficient also contributed to significant thermomechanical stress. The degradation behavior of high chromia refractory brick followed the “penetration-dissolution/reaction-spalling” mechanism. Based on experimental and numerical results, a conceptual model was developed to describe the progressive degradation mechanism of refractory, and several possible solutions were also suggested.