First legs

08.10.1989 Algeria 0-0 Egypt
08.10.1989 Cameroon 2-0 Tunisia

Second legs

17.11.1989 Egypt 1-0 Algeria (1-0 aggregate score)
19.11.1989 Tunisia 0-1 Cameroon (0-3 aggregate score)

Egypt and Cameroon progress through to the World Cup as the two representatives from the CAF confederation.