Three minutes into overtime, Megan Keller of the U.S. pushed the puck past Canadian goaltender Ann-Renee Desbiens to end a 2-1 U.S. victory that instantly added another plot twist in the history of women’s hockey’s two superpowers, the only two nations to win Olympic gold medals since the sport made its debut in 1998.

Team USA and Canada have clashed in six of the seven Olympic gold-medal matches since women's hockey made its Olympic debut in 1998.

For much of Thursday's final, it seemed Canada would refuse to relinquish the throne of Olympic women's ice hockey to this younger American squad. But the U.S. found the grit to topple them, 2-1.

This was the seventh gold medal match — and fifth in a row — between the two hockey powerhouses.

Here is the full box score from Team USA vs. Canada in Milan for the women's gold medal hockey match.

Hilary Knight, Laila Edwards, Caroline Harvey and Team USA women's hockey face Marie-Philip Poulin and Canada for the Olympic gold medal in Milan.

SportsLine's expert Mike Tierney reveals his United States vs. Canada picks for their Winter Olympics women's hockey gold-medal matchup on Thursday

Team Canada and Team USA prepare to battle for gold in Milano Cortina on Thursday. Here's all you need to know about the gold medal game.

After defeating Sweden, 5-0, earlier this week, the USA women's hockey team is going for the gold at the 2026 Winter Olympics against Canada.