Heat waves are generally known to deteriorate air quality. However, the impacts of heat waves on air quality can sub-stantially vary depending on the characteristics of heat waves. In this study, we examine air quality changes in Seoul during heat waves and their associations with large-scale atmospheric patterns. For this, air quality data from 25 sta-tions and meteorological data from 23 weather stations and reanalysis datasets during July and August of 2001-2021 are used. Under heat waves, the mean daily PM10, NO2, and CO concentrations decrease by 7.9 %, 6.1 %, and 4.6 %, respectively, whereas the mean daily PM2.5, O3, and SO2 concentrations increase by 4.1 %, 17.2 %, and 2.9 %, respec-tively. The atmospheric circulation under heat waves is less favorable for long-range transport of air pollutants to Seoul. The PM2.5/PM10 ratio increases under heat waves, indicating that the secondary formation of aerosols becomes more important under heat waves. 37 % of the heat wave days are accompanied by severe O3 pollution exceeding the O3 concentration standard in South Korea. There is a significant variability of air quality in Seoul within heat waves. The heat wave days with higher concentrations of PM2.5, PM10, O3, NO2, and CO than their non-heat wave means ex-hibit a prominent difference in large-scale atmospheric pattern from the heat wave days with lower concentrations. This difference is characterized by a zonal wave-like pattern of geopotential height, which is similar to the circumglobal teleconnection pattern known as one of the major patterns for heat waves in South Korea. This zonal wave-like pattern produces more stagnant conditions over Seoul.