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A total of 16CONCACAF teams entered the competition, butFIFA rejected the entry ofBelize due to outstanding debt.
There would be two rounds of play:
Antigua and Barbuda
Canada
Costa Rica
Cuba
El Salvador
Guatemala
Guyana
Honduras
Jamaica
Netherlands Antilles
Panama
Puerto Rico
Trinidad and Tobago
United States| Team 1 | Agg.Tooltip Aggregate score | Team 2 | 1st leg | 2nd leg |
|---|---|---|---|---|
| Guyana | 0–5 | Trinidad and Tobago | 0–4 | 0–1 |
| Cuba | 1–2 | Guatemala | 0–1 | 1–1 |
| Jamaica | 3–1 |  Puerto Rico | 1–0 | 2–1 |
| Antigua and Barbuda | 1–4 | Netherlands Antilles | 0–1 | 1–3 (a.e.t.) |
| Costa Rica | 3–1 | Panama | 1–1 | 2–0 |
| Guyana | 0–4 | Trinidad and Tobago |
|---|---|---|
Elliot-Allen 41'Faustin 71'Lake 77'Skeene 85' |
| Trinidad and Tobago | 1–0 | Guyana |
|---|---|---|
| Corneal 68' |
Trinidad and Tobagoadvanced to the Second Round, 5–0 onaggregate score.
Guatemalaadvanced to the Second Round, 2–1 onaggregate score.
| Jamaica | 1–0 | Puerto Rico |
|---|---|---|
| Brooks 10' (pen.) |
| Puerto Rico | 1–2 | Jamaica |
|---|---|---|
| de la Campa 52' | Anglin 32',78' |
Jamaicaadvanced to the Second Round, 3–1 onaggregate score.
| Antigua and Barbuda | 0–1 | Netherlands Antilles |
|---|---|---|
| Rovina 54' |
| Netherlands Antilles | 3–1 (a.e.t.) | Antigua and Barbuda |
|---|---|---|
| Rovina 104',118' Rosina 120' | Edwards 38' |
Netherlands Antillesadvanced to the Second Round, 4–1 onaggregate score.
| Costa Rica | 1–1 | Panama |
|---|---|---|
| Jara 26' | Mendieta 17' |
| Panama | 0–2 | Costa Rica |
|---|---|---|
| Cayasso 1' Medford 71' |
Costa Ricaadvanced to the Second Round, 3–1 onaggregate score.
| Team 1 | Agg.Tooltip Aggregate score | Team 2 | 1st leg | 2nd leg |
|---|---|---|---|---|
| Netherlands Antilles | 0–6 | El Salvador | 0–1 | 0–5 |
| Jamaica | 1–5 | United States | 0–0 | 1–5 |
| Trinidad and Tobago | 1–1 (a) | Honduras | 0–0 | 1–1 |
| Costa Rica | w/o |  Mexico | n/a | n/a |
| Guatemala | 3–3 (a) | Canada | 1–0 | 2–3 |
| Netherlands Antilles | 0–1 | El Salvador |
|---|---|---|
| García 53' |
| El Salvador | 5–0 | Netherlands Antilles |
|---|---|---|
| Coreas 5' Garcia 35'Francisca 62' (o.g.)L. Zapata 58',68' |
El Salvadorqualified, 6–0 onaggregate score.
| Jamaica | 0–0 | United States |
|---|---|---|
United Statesqualified, 5–1 onaggregate score.
| Honduras | 1–1 | Trinidad and Tobago |
|---|---|---|
| Flores 20' | Charles 56' |
Theaggregate score was tied at 1–1, howeverTrinidad and Tobagoqualified onaway goals.
| Costa Rica | w/o1 | Mexico |
|---|---|---|
1 The tie was scratched and Costa Rica advanced to the final round as Mexico were disqualified after being suspended forfielding overaged players during the1988 CONCACAF U-20 Tournament.
| Guatemala | 1–0 | Canada |
|---|---|---|
| B. Pérez 20' (pen.) |
Theaggregate score was tied at 3–3, howeverGuatemala qualified onaway goals.
Ian BridgeJuan CayassoClaudio JaraHernán MedfordSalvador Coreas PrivadoCarlos CastañedaJuan Manuel LópezAdán PaniaguaJuan Alberto FloresDave BrooksAlton SterlingShurbi RosinaHutson CharlesAnton CornealPaul Elliot-AllenMarvin FaustinGeoffrey LakeDexter SkeeneBrian BlissPaul KrumpeHugo PérezVíctor René Mendieta OcampoDerrick Edwards