The formation mechanism of air pollution events in the Sichuan Basin (SB), which is the fourth most heavily polluted area in China, has not been fully revealed. This study investigated the formation mechanism of a severe air pollution event over the SB using synoptic approaches and model simulations. The results can be summarized as follows: (1) Heavy air pollution in the SB was characterized by low visibility, low atmospheric boundary layer (ABL) height, high temperature, high relative humidity, strong temperature inversion layer, subsidence in the troposphere, high water vapor content between 500 and 900 hPa, southerly winds in the low troposphere, and surface winds with low speed and irregular direction. (2) Air quality in the SB was closely related to the weather system at 700 hPa over the basin. When the 700 hPa weather system affecting the SB was a high-pressure system, the subsidence and stable atmospheric stratification increased the air pollutant concentrations near the ground. When the 700 hPa weather system affecting the SB was a low-pressure system and the basin was in front of this low-pressure system, southwesterly warm and moist airflow and adiabatic subsidence warming formed the thick temperature inversion layer over the basin. As a result, the temperature inversion layer trapped air pollutants in the basin and induced the heavy air pollution event. When the 700 hPa weather system over the SB was a low-pressure system and the basin was behind the low-pressure system, the dry and cold airflow from the north invaded southward to the basin and broke the temperature inversion layer. Consequently, air pollutants dispersed vertically, resulting in decreased concentrations near the ground. (3) Air pollutants from December 17, 2017 to January 4, 2018 were mainly from local emissions. (4) The WRF-Chem model not only reproduced the variations in PM2.5 concentrations, the ABL height, and the height-time cross-sections of temperature, water vapor content, and wind over Chengdu during the air pollution event, but also revealed the formation mechanism of this heavy air pollution event. The results of this study reveal the formation mechanism of winter heavy air pollution events over the SB and help develop effective regional air quality management strategies to reduce the likelihood of local air pollution events and minimize the adverse impacts of air pollution.