The event was held from June 15 to 18, 2023 at the Allegiant Stadium in Paradise, Nevada, United States, and was contested by the four group winners of League A.

[1] The United States defeated Canada 2–0 in the final to secure a second consecutive CONCACAF Nations League title.

The Allegiant Stadium in Paradise, Nevada, United States, within the Las Vegas Area, was announced as the venue for the event on March 20, 2023.

[4][5] Each national team had to submit a squad of 23 players, three of whom had to be goalkeepers, at least ten days before the opening match of the tournament.

The referee initially allotted 12 minutes of stoppage time at the end of regulation, but he halted the match in the eighth minute of stoppage time amid more chants (though CONCACAF claimed the match was halted at the referee's discretion).