Three-time defending champions Argentina won their 11th gold medal by defeating the hosts Chile 3–1 in the final, who reached the final for the first time.[1]Canada won the bronze medal by defeating the United States 3–2. As winners Argentina qualified directly for the 2024 Summer Olympics in Paris, France.[2]
A total of eight teams qualified to compete at the games. As host nation, Chile were given automatic qualification. The top two teams at both the 2022 South American Games and 2023 Central American and Caribbean Games also qualified. The remaining qualification quotas came from the 2022 Pan American Cup. As Chile finished in the top two at the 2022 South American Games, their qualification quota was added to the 2022 Pan American Cup, meaning four teams qualified from the tournament.[3] If Canada and/or the United States had still not qualified, a play-off between the nations and the third ranked at the Pan American Cups would have taken place. As both nations qualified, the play-off was not necessary and the next best placed team at each Pan American Cup (that has not already qualified) qualified. On 13 July 2023, the Pan American Hockey Federation announced the qualified teams and pools for the event.[4]
Chile finished in the top two at the 2022 South American Games, meaning the host nation quota was reallocated as an additional quota through the 2022 Pan American Cup.
Since Canada and the USA qualified through the Pan American Cup, an additional spot was available through the event.