In the fourth round of the CONCACAF 2006 World Cup qualification, the six remaining teams from the third round were put in a single group, and played against each other home-and-away.
The three teams with most points qualified for the 2006 FIFA World Cup.
The fourth-placed team, Trinidad and Tobago, advanced to the AFC-CONCACAF playoff against the winner of the fourth round of Asia, Bahrain.
There were 83 goals scored in 30 matches, for an average of 2.77 goals per match.
6 goals4 goals3 goals2 goals1 goal1 own goal