The 2022 U.S. Paralympic Sled Hockey Team captured an unprecedented fourth-straight Paralympic gold medal by defeating Canada, 5-0. The U.S. finished a perfect 4-0-0-0 (W-OTW-OTL-L), topping Canada (5-0) and South Korea (9-1) in group play before defeating host China (11-0) in the semifinals.

David Hoff (Bottineau, N.D.), who was the assistant coach to Guy Gosselin at the 2018 Paralympic Winter Games, served as head coach of the 2022 U.S. Paralympic Sled Hockey Team. Joining Hoff behind the bench was assistant coach Corey Gorder (Bottineau, N.D.). Both Hoff and Gorder coached Team USA to back-to-back world championship titles in 2019 and 2021 in Ostrava, Czech Republic. 

The United States, which entered the tournament as the three-time defending champions, has now medaled in six of its seven Paralympic appearances (gold - 2002, 2010, 2014, 2018, 2022; bronze - 2006).

USA Hockey announced the 17-player roster for the 2022 U.S. Paralympic Sled Hockey Team on Jan. 22, 2022, which included 11 players who won the gold medal at the 2018 Paralympic Winter Games. The roster was led by captain Josh Pauls (Green Brook, N.J.), alternate captains Declan Farmer (Tampa, Fla.) and Rico Roman (Portland, Ore.) and goaltender Jen Lee (San Francisco, Calif.). All four were members of the gold medal-winning 2014 and 2018 Paralympic Sled Hockey Teams.