The group stage was held in September, October, and November 2023, and the Finals were played from 21 to 24 March 2024 at AT&T Stadium in Arlington, Texas.

The competition saw a format change, with League A now featuring sixteen teams and a quarter-final round.

In addition, the Nations League also served as qualification for CONCACAF teams for the 2024 Copa América, which is being held between June and July of this year in the United States.

League A also determined the six CONCACAF teams which qualified as guests for the 2024 Copa América in the United States.

Teams were divided into leagues based on their results of the 2022–23 season, while the pots were determined by the CONCACAF Ranking of March 2023.

[13] The four teams were ranked based on their results in both legs of the quarter-finals to determine the semi-final matchups.

[18] An official "Top Scorer Award" was also handed out by CONCACAF, utilising a points system that took into consideration which league the player in question was a part of and weighed their goals accordingly.

With seven goals for Guyana in League B, Omari Glasgow won the award with a total of 10.5 points.