A self-focusing field emission (FE) X-ray tube with a large-area cathode design was simulated and fabricated. The designed X-ray tube had a cylindrically symmetric geometry; the diameter of the cathode and the anode was 15 mm, and the cathode-anode distance was 20 mm. Owing to the unique cup-shaped design of the cathode, the electron beam emitted from the large-area cathode was focused onto the anode without using magnetic lenses or extra biased electrodes. Carbon nanocoils, which were grown on the bottom of the circular cup-shaped cathode, were used as electron emitters because of their excellent FE properties. A simulation of the electron trajectories for various cup heights revealed that the optimal focal spot size (0.1 mm) was obtained at a cup height of 5 mm when a voltage of 50 kV was applied. To verify this result, an X-ray tube was fabricated and tested. An X-ray photograph of the tested tooth and electric circuits showed good resolution and X-ray intensity. The large cathode area effectively reduces the current density and thereby improves the lifetime of the cathode.