Abstract On 19 September 2022, a major earthquake struck the northwestern Michoacán segment along the Mexican subduction zone. A slip model is obtained that satisfactorily explains geodetic, teleseismic, and tsunami observations of the 2022 event. The preferred model has a compact large-slip patch that extends up-dip and northwestward from the hypocenter and directly overlaps a 1973 Mw 7.6 rupture. Slip is concentrated offshore and below the coast at depths from 10 to 30 km with a peak value of ∼2.9 m, and there is no detected coseismic slip near the trench. The total seismic moment is 3.1×1020  N·m (Mw 7.6), 72% of which is concentrated in the first 30 s. Most aftershocks are distributed in an up-dip area of the mainshock that has small coseismic slip, suggesting near-complete strain release in the large-slip patch. Teleseismic P waveforms of the 2022 and 1973 earthquakes are similar in duration and complexity with high cross-correlation coefficients of 0.68–0.98 for long P to PP signal time windows, indicating that the 2022 earthquake is a quasi-repeat of the 1973 earthquake, possibly indicating persistent frictional properties. Both the events produced more complex P waveforms than comparable size events along Guerrero and Oaxaca, reflecting differences in patchy locking of the Mexican megathrust.