The 1999 UEFA Regions' Cup was the first UEFA Regions' Cup. It was held in Italy and won by the Veneto team from the host nation, which beat Spain's Madrid 3–2, after extra time, in the final.

Preliminary round

The 32 teams entered were drawn into eight groups of four, with the following countries hosting each group's matches: The winners of each group qualified for the final tournament.

Group 1

Notes:

Group 2

Notes:

Group 3

Group 4

Group 5

Group 6

Group 7

Group 8

Final tournament

Italy was chosen to host the final tournament, with matches being played from 31 October to 5 November 1999.

Group stage

The eight preliminary group winners were drawn into two groups of four, with the two group winners advancing to the final.

Group A

Group B

Final