Twelve regional qualifiers were held by the International Cricket Council (ICC), with 62 teams[n 1] competing during 2018 in five regions – Africa (3 groups), Americas (2), Asia (2), East Asia Pacific (2) and Europe (3).

The top two teams in each group advanced to the regional final tournament, which would determine two American entrants to the 2019 ICC T20 World Cup Qualifier.

[6] Following the conclusion of matches that took place on 22 August 2019, Canada and Bermuda had both progressed to the T20 World Cup Qualifier.

[9] Originally, the sub region matches were scheduled to start on 19 September, but were postponed by one day because of Hurricane Florence.

[16][17] Canada won the Regional Finals to progress to the 2019 ICC T20 World Cup Qualifier.