Canada and the United States have faced each other in the gold medal game of six of seven Olympics, 21 of 22 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.
Canada currently leads the head-to-head with 98 Canadian wins vs 74 American wins.
History
After an American victory over Canada at the 1998 Nagano Olympics, the Canadian Olympic team won the next four gold medals over the U.S. (the exception being 2006 where Canada defeated Sweden for gold and U.S. defeated Finland for bronze) until 2018, when the U.S. ended a 20-year gold medal drought defeating Canada in a shootout. Canada once again claimed Olympic gold over the U.S. at the 2022 Olympics.
However, at the World Championships, Canada won the first 8 straight gold medals from 1990 to 2004. From 2005 to 2023 the U.S. has dominated winning 10 of the 14 World Championships, defeating Canada eight times (the exception being 2019 where the U.S. won gold defeating Finland, who upset Canada in their semi-final match).
At the 4 Nations Cup, Canada and the U.S. have faced each other in every gold medal game (except 2001 when the U.S. withdrew due to the September 11 attacks and 2013 where Canada won gold defeating Finland and the U.S. won bronze defeating Sweden), with Canada winning 10 of the first 12 and the U.S. winning 7 of the last 11.
The longest Gold medal streak, 9, by the Canadians from 1998 to 2002, was broken by USA's Gold at the 2003 4 Nations Cup. The longest win streak, eight games, by the Americans was broken by Canada's win in the gold medal game of the 2002 Olympics.
Head to Head Record
Overall
Canada Regulation Wins 75 + Overtime Wins 16 + Shootout Wins 7 = 98United States Regulation Wins 56 + Overtime Wins 8 + Shootout Wins 10 = 74 1 Tie
Gold Medal Games
Canada
Regulation Wins 21 + Overtime Wins 7 + Shootout Wins 2 = 30
United States
Regulation Wins 12 + Overtime Wins 4 + Shootout Wins 5 = 21
Game Results
Results of Tournaments
Medal Tables
Olympics
Accurate as of 2022 Winter Olympics.
IIHF World Women's Championships
Accurate as of 2023 IIHF Women's World Championship.
Four Nations Cup
Accurate as of 2018 4 Nations Cup.