Canada and the United States have faced each other in the gold medal game of six of seven Olympics, 20 of 21 IIHF Women's World Championships and 21 of 23 4 Nations Cups since the beginning of international play. Only a few of Canada's and the U.S.'s losses have been to teams outside their rivalry. Canada currently leads the head-to-head with 93 Canadian wins vs 73 American wins.