Canada–United States women's national ice hockey rivalry

Canada and the United States have faced each other in the Gold Medal game of 5 of 6 Olympics, 18 of 19 IIHF Women's World Championships and 21 of 23 4 Nations Cups since the beginning of international play. Only a few of Canada's and the U.S.'s losses have been to teams outside their rivalry.

After an American victory over Canada at the 1998 Nagano Olympics, the Canadian Olympic team won the next four gold medals over the USA (the exception being 2006 where Canada beat Sweden for gold and USA beat Finland for bronze) until 2018, when the USA ended a 20-year gold medal drought beating Canada in a shootout.

However, at the World Championships, Canada won the first 8 straight gold medals from 1990 to 2004 but recently, the USA has dominated winning 9 of the last 11 World Championships, beating Canada eight times (the exception being 2019 where the USA won gold over Finland, who upset Canada in their semi-final match).

At the 4 Nations Cup, Canada and the USA have faced each other in every gold medal game (except 2001 when the USA withdrew due to the September 11 attacks and 2013 where Canada won gold over Finland and the USA won bronze over Sweden), with Canada winning 10 of the first 13 and the USA winning 6 of the last 10.

Overall
 Canada  Regulation Wins 66 + Overtime Wins 12 + Shootout Wins 6 = 84  USA  Regulation Wins 51 + Overtime Wins 7 + Shootout Wins 9 = 67 1 Tie

Gold Medal Games
 Canada  Regulation Wins 19 + Overtime Wins 6 + Shootout Wins 2 = 27  USA  Regulation Wins 11 + Overtime Wins 4 + Shootout Wins 5 = 20

Results of Tournaments
DNP = Did not participate

Medal Tables
 Olympics 

 IIHF World Women's Championships 

 Four Nations Cup