The United States required a penalty shootout to win the women's intercontinental water polo tournament in Auckland tonight.
Australia grabbed back a goal in the last 10 seconds to lock the gold medal match up at 8-all.
However the Aussies missed twice while Olympic champions the US nailed all four attempts.
Canada came from three goals behind to beat China 9-7 to take the bronze medal.
New Zealand avoided finishing last with a 13-10 win over Japan - their second win over their rivals during the tournament.
It was locked up 6-all at halftime, and Liana Dance, a late inclusion in the New Zealand squad, bagged four goals for the host team.