A further eight teams qualified through regional, cross-regional play-offs and the repechage process.
[1] The qualifying matches began on 5 June 2021, when Burkina Faso defeated Burundi 52–3 in the first round of the African Qualification.
The loser, Tonga, then progressed to a straight play-off match against the deemed winner of the 2021 Oceania Rugby Cup (Cook Islands), which Tonga won to advance as Oceania 2 to a cross-regional play-off against Asia 1.
Following the regional tournaments, the next qualification stage was a single-leg qualification match between Asia 1 (Hong Kong) and Oceania 2 (Tonga), with the winner (Tonga) qualifying for the 2023 Rugby World Cup as Asia/Pacific 1.
The four teams were: Portugal won the final Qualifier and joined Pool C of the 2023 World Cup.