The following is the qualification system and qualified countries for the artistic swimming at the 2019 Pan American Games scheduled to be held in Lima, Peru.
A total of 80 artistic swimmers will qualify to compete at the games.
[1] Canada and the United States, as being the only members located in zone 4 and zone 3 respectively, automatically qualify a full team.
The South American region and the Central American and Caribbean region will qualify three teams and five duets each.
Therefore, a total of eight teams and twelve duets will qualify.