North American species of Agabus Leach of the elongatus-, zetterstedti-, and confinis-groups, as defined by Larson (1989), are revised. Study of character state distribution indicates that the elongatus- and zetterstedti-groups are clades within the confinis-group but the names are retained in this paper to maintain consistency. Twenty species belonging to this complex occur in North America, namely: elongatus-group with A. elongatus Gyllenhal and A. inexspectatus Nilsson; zetterstedti-group with A. zetterstedti Thomson; and the confinis-group with A. thomsoni (J. Sahlberg), A. moestus (Curtis), A. clypealis (Thomson), A. phaeopterus (Kirby), A. immaturus sp.nov. (Great Lakes and Maritime Provinces regions), A. canadensis Fall, A. audeni Wallis, A. mackenziensis sp.nov. (northwestern Canada), A. bicolor (Kirby), A. subfuscatus Sharp, A. discolor (Harris), A. approximate Fall, A. kootenai sp.nov. (southwestern Canada and northwestern United States), A. inscriptus (Crotch), A. smithi Brown, A. sasquatch sp.nov. (alpine areas of California and Nevada), and A. confinis (Gyllenhal). For each species the following information is provided: synonymy; description and illustration of taxonomically useful characters; notes on relationships, variation, distribution, and ecology; and a map of North American collection localities. A key to the North American species of the confinis-group is presented. Lectotypes are designated for A. subfuscatus Sharp, Gaurodytes inscriptus Crotch, G. ovoideus Crotch, and G. longulus LeConte.