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The 2010 Central American and Caribbean Games Preliminary round was a preliminary round contested by some CONCACAF teams that determined the qualified teams to the 2010 Central American and Caribbean Games. Six football teams were drawn into 3 matchups that were contested in a two-legged tie. The first leg of each of the preliminary round matchups was played on March 21, 2010, and the second leg was played on March 27–28. Costa Rica did not participate in the first part, being the strongest team, they got an automatic spot into an extra playoff series against the best losing team of the two-legged series. Nicaragua, having the best result, played against Costa Rica. All 7 Central American associations took part in the qualifying process.
Matches
| Team 1 | Agg.Tooltip Aggregate score | Team 2 | 1st leg | 2nd leg | ||
|---|---|---|---|---|---|---|
Guatemala 
|
0–3 |  Panama
|
0–0 | 0–3 | ||
Honduras 
|
0–1 |  El Salvador
|
0–1 | 0–0 | ||
Belize 
|
2–2 (a) |  Nicaragua
|
1–0 | 1–2 | ||
| Extra Playoff | ||||||
Costa Rica 
|
12–1 | Nicaragua
|
6–1 | 6–0 | ||
First legs
Guatemala v Panama
| 21 March 2010 | Guatemala | 0 – 0 | Panama | Quetzaltenango, Guatemala |
| Stadium: Estadio Mario Camposeco Attendance: 1,554 Referee: Elmer Bonilla (SLV) |
Honduras
v El Salvador
| 21 March 2010 | Honduras | 0 – 1 | El Salvador | Siguatepeque, Honduras |
| 17:00 (UTC−06) | Gutiérrez  51' |
Stadium: Estadio Roberto Martínez Avila Attendance: 1,450 Referee: Luis Rodríguez (PAN) |
Belize
v Nicaragua
| 21 March 2010 | Belize | 1 – 0 | Nicaragua | Belmopan, Belize |
| West 27' |
Stadium: FFB Field Attendance: 2,000 Referee: Marlon Mejía (SLV) |
Second legs
Panama v Guatemala
| 27 March 2010 | Panama | 3 – 0 | Guatemala | David, Panama |
| 16:00 (UTC−06) | Godoy 61' Davis 87'Blackburn 88' |
Stadium: Estadio San Cristóbal Attendance: 2,500 Referee: José Pineda (HON) |
- Panama won 3–0 on aggregate.
El Salvador
v Honduras
| 28 March 2010 | El Salvador | 0 – 0 | Honduras | San Salvador, El Salvador |
| 15:00 (UTC−06) | Stadium: Estadio Cuscatlán Attendance: 6,700 Referee: Walter López (GUA) |
- El Salvador won 1–0 on aggregate.
Nicaragua
v Belize
| 28 March 2010 | Nicaragua | 2 – 1 | Belize | Managua, Nicaragua |
| Portocarrero 41' 56' |
Maldonado 19' |
Stadium: Dennis Martínez National Stadium Attendance: 3,000 Referee: Hugo Cruz (CRC) |
- Belize 2–2 Nicaragua on aggregate. Belize won on away goals.
Playoff
Costa Rica v Nicaragua
| 11 April 2010 | Costa Rica | 6 – 1 | Nicaragua | Cartago, Costa Rica |
| Madrigal 7' 34' 44' Mena 58'Blanco 64'Estrada 80' |
Reyes 54' |
Stadium: Estadio José Rafael Fello Meza Ivankovich Attendance: 1,500 Referee: Juan Amaya (PAN) |
Nicaragua
v Costa Rica
| 18 April 2010 | Nicaragua | 0 – 6 | Costa Rica | Managua, Nicaragua |
| Guevara 9' 41' Gamboa 18'Madrigal 57'Castro 61' 78' |
Stadium: Dennis Martínez National Stadium Attendance: 600 Referee: Oscar Moncada (HON) |
- Costa Rica won 12–1 on aggregate.