Canada–United States women's national ice hockey rivalry

Canada and the United States have faced each other in the gold medal game of six of seven Olympics, 22 of 23 IIHF Women's World Championships and 21 of 23 4 Nations Cups since the beginning of international play. Only a few of Canada's and the U.S.'s losses have been to teams outside their rivalry.

Canada currently leads the head-to-head with 103 Canadian wins vs 78 American wins. Canada also leads in Gold medals with 31 vs 21 for the Americans.

History
After an American victory over Canada at the 1998 Nagano Olympics, the Canadian Olympic team won the next four gold medals over the U.S. (the exception being 2006 where Canada defeated Sweden for gold and U.S. defeated Finland for bronze) until 2018, when the U.S. ended a 20-year gold medal drought defeating Canada in a shootout. Canada once again claimed Olympic gold over the U.S. at the 2022 Olympics.

However, at the World Championships, Canada won the first 8 straight gold medals from 1990 to 2004. From 2005 to 2019 the U.S. has dominated winning 9 of the 11 World Championships, defeating Canada eight times (the exception being 2019 where the U.S. won gold defeating Finland, who upset Canada in their semi-final match). Since 2020, Canada has won 3 of the last 4.

At the 4 Nations Cup, Canada and the U.S. have faced each other in every gold medal game (except 2001 when the U.S. withdrew due to the September 11 attacks and 2013 where Canada won gold defeating Finland and the U.S. won bronze defeating Sweden). Between 1996 and 2010, Canada won 12 of 15 and from 2011 to 2018, the U.S. won 6 of the 8. The tournament has not been played since the 2018 edition.

The longest Gold medal streak is tied at 9. The Canadian streak lasting from 1998 to 2002, was broken by U.S.'s Gold at the 2003 4 Nations Cup. The American streak lasting from 2015 to 2019, was broken by Canada's Gold at the 2021 World Championship. The longest win streak, eight games, by the Americans was broken by Canada's win in the gold medal game of the 2002 Olympics.

Overall
 Canada  Regulation Wins 78 + Overtime Wins 17 + Shootout Wins 8 = 103  United States  Regulation Wins 58 + Overtime Wins 10 + Shootout Wins 10 = 78 1 Tie

Gold Medal Games
 Canada  Regulation Wins 21 + Overtime Wins 8 + Shootout Wins 2 = 31  United States  Regulation Wins 12 + Overtime Wins 4 + Shootout Wins 5 = 21

Medal Tables
 Olympics  Accurate as of 2022 Winter Olympics.

 IIHF World Women's Championships  Accurate as of 2024 IIHF Women's World Championship.

 Four Nations Cup  Accurate as of 2018 4 Nations Cup.