Abstract Using observations and model simulations (ESM4.1) during 1988–2018, we show large year-to-year variability in western U.S. PM2.5 pollution caused by regional and distant fires. Widespread wildfires, combined with stagnation, caused summer PM2.5 pollution in 2017 and 2018 to exceed 2 standard deviations over long-term averages. ESM4.1 with a fire emission inventory constrained by satellite-derived fire radiative energy and aerosol optical depth captures the observed surface PM2.5 means and extremes above the 35 μg/m3 U.S. air quality standard. However, aerosol emissions from the widely used Global Fire Emissions Database (GFED) must be increased by 5 times for ESM4.1 to match observations. On days when observed PM2.5 reached 35–175 μg/m3, wildfire emissions can explain 90% of total PM2.5, with smoke transported from Canada contributing 25–50% in northern states, according to model sensitivity simulations. Fire emission uncertainties pose challenges to accurately assessing the impacts of fire smoke on air quality, radiation, and climate.