Qualified teams
| Confederation | Region | Means of qualification | Teams qualified | Appearance | Previous best performance |
|---|---|---|---|---|---|
| CONCACAF | North American | 2018 CONCACAF U-20 Championship (1–21 November 2018) |
 Mexico |
15th | Gold medal(1967, 1975, 1999, 2011) |
| Caribbean |  Jamaica |
5th | Silver medal (2007) | ||
| Central American |  Panama |
2nd | Fourth place (2015) | ||
| Last berth defined by CONCACAF |  Honduras |
5th | Silver medal (1999) | ||
| CONMEBOL | South American | Automatically qualified |  Peru(hosts) |
2nd | Group stage (2015) |
| 2019 South American U-20 Championship (17 January–10 February 2019) |
 Argentina |
15th | Gold medal(1951, 1955, 1959, 1971, 1995, 2003) | ||
 Uruguay |
7th | Gold medal(1983, 2015) | |||
 Ecuador |
4th | Gold medal(2007) |
Group stage
Group A
| Team | Pld. | W | D | L | Goals | Pts. | Qualification |
| Mexico | 3 | 2 | 1 | 0 | 4-1 | 7 | Semi Finals |
| Argentina | 3 | 2 | 0 | 1 | 7-5 | 6 | Semi Finals |
| Panama | 3 | 0 | 2 | 1 | 2-4 | 2 | 5/8 Match |
| Ecuador | 3 | 0 | 1 | 2 | 3-6 | 1 | 5/8 Match |
| 29-07-2019 | Panama | 0-0 | Mexico |
| 29-07-2019 | Ecuador | 2-3 Jordan Rezalba, Andersob Naula / Carlos Valenzuela, Adolfo Gaich (2) | Argentina |
| 01-08-2019 | Panama | 1-1 Luis Zuniga / Leonardo Campana | Ecuador |
| 01-08-2019 | Mexico | 2-1 Francisco Eduardo Venegas Moreno, Jose de Jesus Godinez Navarro / Adolfo Gaich | Argentina |
| 04-08-2019 | Panama | 1-3 Jorman Aguilar / Adolfo Gaich, Sebastian Lomanaco, Carlos Valenzuela | Argentina |
| 04-08-2019 | Ecuador | 0-2 Johan Vasguez, Mauro Lainez | Mexico |
Group B
| Team | Pld. | W | D | L | Goals | Pts. | Qualification |
| Uruguay | 3 | 3 | 0 | 0 | 7-0 | 9 | Semi Finals |
| Honduras | 3 | 1 | 1 | 2 | 5-6 | 4 | Semi Finals |
| Jamaica | 3 | 1 | 0 | 2 | 3-5 | 3 | 5/8 Match |
| Peru | 3 | 0 | 1 | 2 | 2-6 | 1 | 5/8 Match |
| 29-07-2019 | Jamaica | 1-3 Robert Beckford / Darixon Vuelto (2), Douglas Martinez | Honduras |
| 29-07-2019 | Uruguay | 2-0 Darwin Nunez, Leonardo Fernandez | Peru |
| 01-08-2019 | Jamaica | 0-2 Leonardo Fernandez (2) | Uruguay |
| 01-08-2019 | Honduras | 2-2 Darixon Vuelta, Denil Maldonado / Kevin Quevedo, Guivin | Peru |
| 04-08-2019 | Uruguay | 3-0 Arriaga (og), Ignacio Ramirez, Leonardo Fernandez | Honduras |
| 04-08-2019 | Jamaica | 2-0 Beckford (2) | Peru |
Placement stage (5th–8th place)
Seventh place match
| 07-08-2019 | Peru | 1-1 Minda (og) / Vivar (4-2 pen.) | Ecuador |
Fifth place match
| 07-08-2019 | Panama | 4-0 Jorman Aguilar, Carrasguilla, Ayarza, Zuniga | Jamaica |
Semi-finals
| 07-08-2019 | Mexico | 1-1 Francisco Eduardo Venegas / Jose Reyez (2-4 pen.) | Honduras |
| 07-08-2019 | Uruguay | 0-3 Adolfo Gaich (2), Carlos Valenzuela | Argentina |
Bronze medal match
| 10-08-2019 | Mexico | 1-0 Martin del Campo | Uruguay |
Gold medal match
| 10-08-2019 | Honduras | 1-4 Douglas Martinez / Agustin Urzi, Carlos Valenzuela, Lucas Necul, Fausto Vera | Argentina |
Goalscorers
| Players (Team) | Goals |
| Adolfo Gaich (Argentina) | 6 |
| Carlos Valenzula (Argentina) | 4 |
| Leonardo Fernandez (Uruguay) | 4 |
| Darixon Vuelto (Uruguay) | 3 |
| Deshane Beckford (Jamaica) | 3 |