Both sides were looking to build on winning starts in Group A, but they shared the spoils after a tense encounter at the Water Polo Arena.
Captain Jennifer Pareja scored four goals for Spain, while Maica Garcia netted twice. Anni Espar, Roser Tarrago and Laura Lopez each got one goal.
Kami Craig found the back of the net four times for the USA, with Melissa Seidemann, captain Brenda Villa, Maggie Steffens, Courtney Mathewson and Annika Dries scoring one apiece.
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