Fourth Round
The six teams that reached the fourth round formed one double-round-robin, home-and-away group nicknamed the "Hexagonal." The top three teams qualified for the 2010 FIFA World Cup. The fourth place team qualified for a home-and-away play-off against the fifth-place team from CONMEBOL.
The allocation of teams in the draw took place in Johannesburg, South Africa on 22 November 2008.
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- The United States, Mexico and Honduras qualified for the 2010 FIFA World Cup.
- Costa Rica advanced to the CONMEBOL/CONCACAF play-off.
Read more about this topic: 2010 FIFA World Cup Qualification (CONCACAF)
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