In the CONCACAF Fourth Round of qualification for the 2014 FIFA World Cup, the United States, Costa Rica, and Honduras finished in the top three places and qualified directly for the 2014 World Cup. Mexico finished in fourth place and defeated New Zealand in the CONCACAF – OFC play-off to gain a spot in the World Cup. Mexico finished in fourth place ahead of Panama after the United States scored two goals against Panama in stoppage time in the final match of qualifying; had Panama retained its 2-1 lead, they would have finished in fourth place and eliminated Mexico on goals scored, who had qualified for the previous five World Cups.
The fourth round saw the three group winners and the three group runners-up from the third round compete in a single group of six teams. This stage is referred to as the Hexagonal or Hex, and has been used by CONCACAF to determine its World Cup finals entrants since the qualification tournament for the 1998 FIFA World Cup.
The matches were played from 6 February to 15 October 2013. The top three teams advanced to the World Cup finals tournament in Brazil, and the fourth-placed team advanced to a play-off against New Zealand, the winner of the Oceania qualifiers.
The representative from the six national associations met together on 19 October 2012, but could not agree on the schedule for the fourth round. The draw for the fixtures was conducted by CONCACAF and FIFA on 7 November 2012, in Miami Beach, Florida.