Qualifying for the 2023 Rugby World Cup for North and South America began in June 2021, with seven teams competing for two direct qualification spots into the final tournament and for one place in the Final Qualification Tournament.

Qualifying for the 2019 Rugby World Cup for the Americas began in March 2016, where across 3 years, 20 teams competed for two direct qualification spots into the final tournament, and one spot in the Repechage tournament. For qualification purposes, the two Americas regions Rugby Americas North and Sudamérica Rugby formed the Americas region to compete for the two Americas berths in the World Cup.