2006 FIFA World Cup qualification – CONCACAF Fourth Round

In the Fourth Round of the CONCACAF 2006 World Cup qualification, the six remaining teams from the Third Round were put in a single group, and played against each other home-and-away. The three teams with most points qualified for the 2006 FIFA World Cup. The fourth-placed team, Trinidad and Tobago, advanced to the AFC-CONCACAF playoff against the winner of the Fourth Round of Asia, Bahrain.