The history of the Women's World Championship has been characterized by runs of dominance by both Canada and the U.S. over the years. Canada won the gold medal in each of the first eight editions of the tournament from 1990 to 2004, while the U.S. then won nine of the next 11 from 2005 to 2019.

Canada only missed out on the gold medal game once at the Women’s Worlds, that coming in 2019. The Canadians have won a record 13 gold medals in the tournament, including a 6-5 overtime win over the U.S. in Utica last year. Canada is 13-9 in championship games.

The United States defeated Canada 4-3 to win the women’s ice hockey world championships thanks to Tessa Janecke’s goal in overtime.