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While at the helm of the United States, Sundhage won the 2008 Algarve Cup and gold medals at both the 2008 Summer Olympics and the 2012 Summer Olympics. She was on the verge of winning the 2009 Algarve Cup, but the United States lost out to Sundhage's native Sweden on penalties. However, she did win the 2010 Algarve Cup a year later, defeating World and European Champions Germany 3–2 in the final.