North, Central America and Caribbean (CONCACAF) had two preliminary rounds to narrow the number of teams from 35 to 12. There were then 3 groups of 4. Winners and runners-up then entered to the final group of six, where the top 3 teams qualified. The 4th placed team entered into a playoff with the 5th placed team from CONMEBOL.

Teams that qualified for 2010 World Cup: USA, Mexico and Honduras

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