2010 FIFA World Cup qualification – CONCACAF fourth round

This page provides the summaries of the CONCACAF fourth round, often referred to as "the hexagonal" or "the hex", matches for the 2010 FIFA World Cup qualification. The three group winners and three runners-up from the third round contest this round.

Format
In this round, the group winners and runners-up from the third round formed a single double-round-robin, home-and-away group. The top three teams qualified for the 2010 FIFA World Cup. The fourth place team competed in a home-and-away play-off against the fifth-place team from CONMEBOL.

Results
The allocation of teams in the draw took place in Johannesburg, South Africa on 22 November 2008.