The VoiceMOS Challenge 2022 aimed to encourage research in automatic prediction of mean opinion scores (MOS) for speech quality. It featured two tracks evaluating systems' ability to predict MOS ratings from a large existing dataset or a separate listening test. 21 teams participated in the main track and 15 in the out-of-domain track. Several teams outperformed the best baseline, which fine-tuned a self-supervised model, though the top-performing approaches generally involved ensembling or multi-task learning. While unseen systems were predictable, unseen listeners and speakers remained a difficulty, especially for generalizing to a new test. The challenge highlighted progress in MOS prediction but also the need for metrics reflecting both ranking and absolute accuracy