The men's gold medal game was a rematch of the ice hockey tournament at the 2002 Winter Olympics held in Salt Lake City, United States. In addition, Chris Pronger, Scott Niedermayer, Martin Brodeur and Jarome Iginla of Team Canada were returnees from the 2002 gold-winning squad and collected their second gold medal. Brian Rafalski and Chris Drury were the only players remaining from USA's 2002 silver squad.

The final score was a 3–2 win for Team Canada. Goal scorers for Canada were Jonathan Toews, Corey Perry and Sidney Crosby, with the winning goal scored in overtime. For USA, the goal scorers were Ryan Kesler and Zach Parise, the latter tying the game with 25 seconds left, forcing it to go into sudden death.

Sidney Crosby scored the game-winning goal off a pass from Jarome Iginla, seven minutes and forty seconds into overtime for Canada, gaining victory over the United States. The puck has been sent to the Hockey Hall of Fame in Toronto; in Canadian media, Crosby's goal has been compared in significance to the ones scored by Paul Henderson in the 1972 Summit Series and Mario Lemieux in the 1987 Canada Cup.

The United States dominated throughout the preliminary round, outscoring opponents by a 31-1 margin in three games, including 12-0, 13-1 and 6-0 victories over China, Russia and Finland. Next up for Team USA was a match-up with Sweden in the semifinals. After being upset by the Swedes at the Olympics in 2006 in the same round, the Americans came out strong and retaliated with a 9-1 win for a trip to the gold medal game against top-seeded Canada. 

In a hard-fought battle for gold in front of the largest crowd ever to witness a female hockey game, the only two goals were scored by Canada’s Marie Philip Poulin, as Canada won by a 2-0 count.

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