Fans at the Dec 1 game in the second city of Nzerekore invaded the pitch after two players were sent off and a penalty was awarded to the opposing side Labe at the end of the game, witnesses said.
The events had initially been reported as clashes between fans.
Officials watching the match, including two ministers, were prevented from leaving, prompting stone-throwing and the firing of tear gas by security forces, a witness said, speaking on condition of anonymity.
"Panic quickly set in, leading to an uncontrollable stampede," he said. "People were trampled underfoot or injured as they tried to flee."
The match in the south-eastern city was the final of a tournament organised in honour of Guinea's junta leader, General Mamady Doumbouya, who seized power in a 2021 coup and has installed himself as president.
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