As Canada, Mexico, and the United States qualified for the final tournament as hosts, they will not take part in the qualification tournament. Twelve teams – the second round group winners and runners-up – were drawn into three groups of four teams each to play a home-and-away league format. The winners will qualify for the 2026 FIFA World Cup and the two best runners-up will advance to the inter-confederation play-offs.[1]
Qualified teams
The following teams finished first or second in their respective second round groups:[2]
The draw took place at 19:00 EDT (UTC–4:00) on 12 June 2025. Teams were seeded based on the FIFA Men's World Ranking of June 2025[3] (April 2025 rankings shown in parentheses). The draw started with Pot 1; the first team drawn was placed into position A1, the second team drawn into position B1, and the third team drawn into position C1. The process was repeated with Pots 2, 3, and 4.[3]
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