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| H (Match allé) | MetroStars | - | New England Revolution | 0:2 (0:1) | ||
| R (match retour) | New England Revolution | - | MetroStars | 1:1 (1:1) | ||
| H (Match allé): 01.11.2003 23:00 | R (match retour): 09.11.2003 22:00 | vainqueur: New England Revolution | ||||
| H (Match allé) | D.C. United | - | Chicago Fire | 0:2 (0:1) | ||
| R (match retour) | Chicago Fire | - | D.C. United | 2:0 (1:0) | ||
| H (Match allé): 02.11.2003 02:30 | R (match retour): 09.11.2003 19:00 | vainqueur: Chicago Fire | ||||
| H (Match allé) | Los Angeles Galaxy | - | San Jose Earthquakes | 2:0 (0:0) | ||
| R (match retour) | San Jose Earthquakes | - | Los Angeles Galaxy | 5:2 (2:2, 4:2) ap | ||
| H (Match allé): 02.11.2003 04:00 | R (match retour): 10.11.2003 03:00 | vainqueur: San Jose Earthquakes | ||||
| H (Match allé) | Colorado Rapids | - | Kansas City Wizards | 1:1 (0:1) | ||
| R (match retour) | Kansas City Wizards | - | Colorado Rapids | 2:0 (1:0) | ||
| H (Match allé): 05.11.2003 03:30 | R (match retour): 09.11.2003 02:00 | vainqueur: Kansas City Wizards | ||||
