[2] The top four teams in the Nations League B qualified to the 2023 CONCACAF Gold Cup, and the next best four teams entered the 2023 CONCACAF Gold Cup qualification.

The teams competed in a home-and-away, round-robin format over the course of the group phase, with matches being played in the official FIFA match windows in June 2022 and March 2023.

The first-placed team in each group was promoted to League A and qualified for the 2023 CONCACAF Gold Cup, with the second-placed teams entering the 2023 CONCACAF Gold Cup qualification tournament.

As a result of a format change, no teams were relegated this season.

The draws continued by selecting the remaining teams from Pot 1 and positioning them into Groups B, C and D in sequential order.