The Four Nations Cup is an annual tournament that has been held in varying forms since 1996 (previously the Three Nations Cup). It has taken place 23 times and the United States has competed 22 times, having not participated in 2001.

The United States has captured the title nine times (1997, 2003, 2008, 2011-12, 2015-18), finished second 12 times and third in the 2013 tournament. The U.S. holds an overall record of 55-5-5-23-2 (W-OTW-OTL-L-T) in 90 Three/Four Nations Cup games.