This study uses observations, reanalysis, and simulations with the Model for Prediction Across Scales (MPAS) to investigate the dynamics and evolution of this TPV in January 2019 and the large-scale pattern that steered the vortex into the middle latitudes. By perturbing the strength of the TPV in MPAS simulations, we demonstrate the significant role it played in the cold air outbreak. The spatial extent of the extreme cold air in this case was more limited than often observed with large Arctic high-pressure systems that can cover wide portions of the U.S. east of the Rocky Mountains. Despite the highly anomalous and small-scale nature of the event, the skill of medium-range NWP in forecasting the event was impressive. Our study examines the influence of TPVs in extremes as well as intrinsic predictability. The climatological distribution of TPV excursions into middle latitudes and their attendant sensible weather impacts is also explored and suggests that incursions of TPVs into the middle latitudes during the winter are becoming more frequent. This talk will also discuss possible mechanisms for the increase in TPV incursions.