Head-to-head
Aggregate
Played10
Draws220.0%
Goals United States16
Goals Paraguay8
United States winsdrawsParaguay wins
All meetings
| Date | Home | Score | Away | R | Tournament |
|---|---|---|---|---|---|
| 12 Jun 2026 | United States | 4–1 | Paraguay | H |
|
| 15 Nov 2025 | United States | 2–1 | Paraguay | H | ITL · Friendly |
| 27 Mar 2018 | United States | 1–0 | Paraguay | H | ITL · Friendly |
| 11 Jun 2016 | United States | 1–0 | Paraguay | H | ITL · Copa América |
| 29 Mar 2011 | United States | 0–1 | Paraguay | A | ITL · Friendly |
| 02 Jul 2007 | United States | 1–3 | Paraguay | A | ITL · Copa América |
| 06 Jul 2003 | United States | 2–0 | Paraguay | H | ITL · Friendly |
| 14 Mar 1998 | United States | 2–2 | Paraguay | D | ITL · Friendly |
| 04 Jun 1997 | United States | 0–0 | Paraguay | D | ITL · Friendly |
| 17 Jul 1930 | Paraguay | 0–3 | United States | A |
|