| United States of America | 1 - 2 | Ghana | ||
| Landon Donovan (penalty), 62 | (0-1) | Kevin-Prince Boateng, 5 | ||
| AET | Asamoah Gyan, 93 | |||
| 01 Howard | 22 Kingson | |||
| 03 Bocanegra Captain Yellow card | 02 Sarpei (Addy, 72) | |||
| 06 Cherundolo Yellow card | 04 Pantsil | |||
| 12 Bornstein | 05 John Mensah Captain | |||
| 15 DeMerit | 07 Inkoom (Muntari, 113) | |||
| 04 Bradley | 08 Jonathan Mensah Yellow card | |||
| 08 Dempsey | 06 Annan | |||
| 13 Clark Yellow card (19 Edu, 30) | 13 Ayew Yellow card | |||
| 10 Donovan | 23 Boateng (Appiah, 78) | |||
| 17 Altidore (09 Gomez, 91) | 03 Gyan | |||
| 20 Findley (22 Feilhaber, 46) | 21 Asamoah | |||
| Venue: Royal Bafokeng Stadium, Rustenburg | Saturday 26th June 2010 | |||
| Referee: Viktor Kassai (Hungary) | Second Round 2 of 8 | |||
| Attendance: 34,976 | Finals Match 50 | |||