The semifinals and final were held at WakeMed Soccer Park in Cary, North Carolina.

The final was held on December 13, 2009 with Virginia defeating Akron, 3–2 in a penalty shoot-out, following a goalless regulation and two overtimes.

The Regional Finals were played on December 4 and 5.

All matches held in WakeMed Soccer Park, Cary, NC Host team, or higher seed, is listed on the Left.

Away team or lower seed is listed on the right.