A heat pump moves heat instead of generating it. In summer it pulls heat from inside your home and dumps it outside, which is cooling. In winter it pulls heat from outside air and brings it inside, which is heating. The same unit handles both jobs. Even at 20°F there is more heat in outdoor air than you'd think; cold-climate heat pumps just extract it more efficiently than older models.
Cold-climate heat pump is a heat pump with an inverter-driven compressor designed to maintain rated capacity down to 5°F and continue operating to roughly -15°F. The difference between this and a standard heat pump is the difference between needing backup heat in January and not.
For Seattle homes, this matters because we get maybe 10 nights a year below 25°F. A cold-climate heat pump handles them without breaking a sweat. A standard heat pump would need an electric backup to take over, which spikes your bill and shortens the equipment's life. We only install cold-climate spec systems for PNW homes. It's the only configuration that pencils out.