San Carlos
| # | Player | MIN | G | A | YC | RC | G1h | G2h | IN | OUT |
|---|---|---|---|---|---|---|---|---|---|---|
| Marco Antonio Madrigal Villalobos SUB | 90 | 0 | 0 | 0 | 0 | 0 | 0 | |||
| Rudy Anthony Dawson Forbes D | 90 | 0 | 0 | 1 | 0 | 0 | 0 | |||
| David Guzmán Sanabria D | 61 | 1 | 0 | 0 | 0 | 1 | 0 | 1 | ||
| José David Sánchez Cruz D | 90 | 0 | 0 | 0 | 0 | 0 | 0 | |||
| Manuel González D | 90 | 0 | 0 | 1 | 0 | 0 | 0 | |||
| Reggy Rivera Angulo D | 90 | 0 | 0 | 0 | 0 | 0 | 0 | |||
| Carlos Acosta Evans MF | 90 | 0 | 0 | 1 | 0 | 0 | 0 | |||
| Bryan Gerardo Solórzano Chacón MF | 58 | 0 | 0 | 1 | 0 | 0 | 0 | 1 | ||
| Ismael Alberto Gómez MF | 90 | 1 | 0 | 0 | 0 | 0 | 1 | |||
| Álvaro Alberto Saborío Chacón AT | 77 | 1 | 0 | 0 | 0 | 1 | 0 | 1 | ||
| Marcos Julián Mena Rojas AT | 90 | 0 | 0 | 1 | 0 | 0 | 0 | |||
| Martín Alejandro Cardetti AT | 90 | 0 | 0 | 0 | 0 | 0 | 0 | |||
| Esteban Ramírez Segnini SUB | 32 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | ||
| Aarón Salazar Arias SUB | 29 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | ||
| Juan Vicente Solís Brenes SUB | 13 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | ||
| Fabrizio Santiago Ronchetti Amaral AT | 90 | 0 | 0 | 0 | 0 | 0 | 0 | |||
| José Carlos Pérez González MF | 90 | 0 | 0 | 0 | 0 | 0 | 0 | |||
| Jason Alonso Vega Carmona SUB | 90 | 0 | 0 | 0 | 0 | 0 | 0 | |||
| Luis González MF | 90 | 0 | 0 | 0 | 0 | 0 | 0 | |||
| Totals | 1440 | 3 | 0 | 5 | 0 | 2 | 1 | 3 | 3 |
Goal scorers aren't recorded for every goal in this game (3 of 4 attributed).
Carmelita
| # | Player | MIN | G | A | YC | RC | G1h | G2h | IN | OUT |
|---|---|---|---|---|---|---|---|---|---|---|
| Brayan Adiak Rodríguez Torres SUB | 90 | 0 | 0 | 0 | 0 | 0 | 0 | |||
| Bryan Orué D | 73 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | ||
| Jorge Andrés Gutiérrez Solano D | 90 | 0 | 0 | 1 | 0 | 0 | 0 | |||
| Bernald Alfaro Alfaro D | 90 | 0 | 0 | 1 | 0 | 0 | 0 | |||
| Juan Pablo Arguedas Chacón D | 90 | 0 | 0 | 0 | 0 | 0 | 0 | |||
| Félix Montoya Ordoñez MF | 90 | 1 | 0 | 0 | 0 | 0 | 0 | |||
| Carlos Adriel Montenegro Rodríguez MF | 75 | 1 | 0 | 0 | 0 | 1 | 0 | 1 | ||
| Suhander Manuel Zúñiga Cordero MF | 90 | 0 | 0 | 0 | 0 | 0 | 0 | |||
| Jonathan Josue Martínez Solano MF | 46 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | ||
| Nextalí Rodríguez Medina MF | 90 | 0 | 0 | 0 | 0 | 0 | 0 | |||
| Brayan Rojas Jiménez AT | 90 | 1 | 0 | 0 | 0 | 0 | 1 | |||
| Mario Víquez Morera D | 90 | 0 | 0 | 0 | 0 | 0 | 0 | |||
| Andrey Josué Ugalde Sánchez SUB | 44 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | ||
| Olman Vargas López SUB | 17 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | ||
| Erick Anthony Cabalceta Giacchero SUB | 15 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | ||
| Totals | 1080 | 3 | 0 | 2 | 0 | 1 | 1 | 3 | 3 |