The tournament was played by 10 teams of 10 nations: Netherlands Antilles, Bermuda, El Salvador, United States, Guatemala, Mexico, Honduras, Suriname, Nicaragua, Costa Rica.

The tournament was split in 3 zones (North American, Central American and Caribbean), each one qualifying the winner to the final tournament, where the winners of the Central and Caribbean zones played a semi-final to decide who was going to play against the Northern champion in the final.

The final was scratched and Toluca were declared champions after both semi-finalists, Aurora and Transvaal, were ejected from the competition (Aurora due to crowd violence and Transvaal for using ineligible players).

[1][2] Torneo Centroamericano de Concacaf 1968 The semi-final was declared null and void, and both teams were ejected from the competition: Aurora after their fans invaded the pitch following the end of the 2nd leg and caused a mass brawl between celebrating Transvaal fans, and Transvaal for using three ineligible players in both legs.

After Aurora and Transvaal were both ejected from the competition, the final was scratched and Toluca were declared champions.