To understand the complex relationship between urbanization and carbon emissions, this study measures the urbanization level and land-use carbon emissions of 19 counties and districts in Ningxia from 2009 to 2019 using the integrated index method and carbon emission model, respectively, and explores the coupling relationship based on the coupling coordination degree model, to provide theoretical support for low-carbon urbanization and carbon emission reduction planning in Ningxia. The research results showed that the comprehensive evaluation index of the Ningxia urbanization system shows a linear increasing trend with an average annual growth of 1.6%, but the overall level is low, and the overall spatial pattern being high in the North and low in the South is shown. The dominant type of urbanization is population and economic urbanization. The average annual growth rate of net carbon emissions from land use in Ningxia is 4.75 106t/a. Spatially, it is characterized by higher levels in cities in the North along the Yellow River Ecological and Economic Zone and lower levels in the central arid zone and southern mountainous areas. The coupling degree and coupling coordination degree of Ningxia urbanization and land use carbon emissions show a fluctuating upward trend but belong to a low level of mutual constraints, i.e., the low level of development of Ningxia urbanization, backward industries, and low energy utilization lead to the growth of carbon emissions in Ningxia and restrict the development of urbanization. The government should take into account the regional differences when formulating carbon emission reduction policies to maintain appropriate population size, optimize the economic structure, and improve the land use efficiency.