The Hunga Tonga-Hunga Ha’apai (HTHH) volcanic eruption in January 2022 injected extreme amounts of water vapor (H2O) and a moderate amount of the aerosol precursor (SO2) into the Southern Hemisphere (SH) stratosphere. The H2O and aerosol perturbations have persisted and resulted in large-scale SH stratospheric cooling, equatorward shift of the Antarctic polar vortex, and slowing of the Brewer-Dobson circulation associated with a substantial ozone reduction in the SH winter midlatitudes. Chemistry-climate model simulations forced by realistic HTHH inputs of H2O and SO2 reproduce the observed stratospheric cooling and circulation effects, demonstrating the observed behavior is due to the volcanic influences. Furthermore, the combination of aerosol transport to polar latitudes and a cold polar vortex enhances springtime Antarctic ozone loss, consistent with observed polar ozone behavior in 2022.