This is a list of top-division association football clubs in CONCACAF countries. CONCACAF is the football confederation that oversees the sport in North America, Central America and the Caribbean, including the South American countries of Guyana, Suriname and French Guiana.
All countries and most of the dependent territories in this region have their own football associations which are members of CONCACAF, with the exceptions being Greenland and Saint-Pierre and Miquelon which are not members of CONCACAF or any other football confederation. The French Overseas Departments of French Guiana, Guadeloupe and Martinique, as well as Saint-Martin and Sint Maarten (the French and Dutch parts of the island of Saint Martin), also have their own football associations which are members of CONCACAF (but are not members of FIFA).
Each of the CONCACAF member countries have their own football league systems. The clubs playing in each top-level league compete for the title as the country's club champions, and also for places in next season's CONCACAF club competition, the CONCACAF Champions League (either directly for teams in the North American and Central American Zones, or through the CFU Club Championship for teams in the Caribbean Zone). Due to promotion and relegation, the clubs playing in the top-level league are different every season for some countries; however, some league systems (such as those of the United States and Canada) do not have promotion and relegation. The North American SuperLiga (North America) was an official tournament approved by the CONCACAF between the US/Canadian and Mexican leagues.
The champions of the previous season in each country are listed in bold. If the season is divided into Apertura and Clausura without a single season title, both champions of the previous season are bolded.
Some clubs play in a national football league other than their own country's. Where this is the case the club is noted as such.