CONCACAF Youth Tournaments era FIFA U-20 World Cup qualifying tournament era The format of the tournament was changed beginning with the 1998 tournament and ending with the 2007 tournament. In the five tournaments during that time the top eight teams in the region were divided into two groups of four, each group hosted by a separate nation, and the top two sides from each group qualified for the
FIFA U-20 World Cup. There was no championship round within the CONCACAF region. The tournament served solely to qualify the four allotments given to CONCACAF by FIFA for the U-20 World Cup.
CONCACAF U-20 Championship era Beginning with the
2009 FIFA U-20 World Cup tournament, the CONCACAF region returned to a championship-style tournament in which all four semifinalists qualify for the FIFA U-20 World Cup. The reintroduction of a championship round was done to reinvigorate the competition. The competition changed its format in 2015. The two group winners would secure a place in the final and the U-20 World Cup, the groups' second and third placed teams would compete in a repechage play-off to determine the qualifiers for the U-20 World Cup. The number of guaranteed games per team was increased from 2 to 5 and the semi-final stage was removed. The competition changed its format again in 2017. A second group stage was added, with the winners and runners-up of this stage qualifying for the U-20 World Cup and the winners securing a place in the final. The competition changed its format again in 2020. A knockout stage was added, with the semi-finalists qualifying for the U-20 World Cup. ==Winners by country==