List of top-division football clubs in CONCACAF countries

This is a list of top-division association football clubs in CONCACAF countries.

CONCACAF is the football confederation that oversees the sport in North America, Central America and the Caribbean, including the South American countries of Guyana, Suriname and French Guiana.

All countries and most of the dependent territories in this region have their own football associations which are members of CONCACAF, with the exceptions being Greenland and Saint-Pierre and Miquelon which are not members of CONCACAF or any other football confederation.

They contest the Canadian Championship for the Voyageurs Cup, along with Canadian Premier League teams and lower-level clubs to determine one of Canada's three entrants into the CONCACAF Champions Cup.

The Northern Super League has announced plans to begin play in April 2025.