Host Hong Kong defeated Japan 4–2 in a penalty shoot-out in the final after a 1–1 draw to win their first-ever international title, while South Korea beat North Korea with the same score to finish third.

All group stage matches were held at Siu Sai Wan Sports Ground.

The semi-finals, third place play-off and final were held at Hong Kong Stadium.

Group stage matches commenced on 2 December 2009, three days before the opening ceremony.

At previous tournaments, the age limit was set at 23 with three overage players allowed.