The Central American Games were the first international tournament to feature baseball as a medal event, doing so in 1926 and 1930. The event then became the Central American and Caribbean Games, but another version of the Central American Games was established in 1973 with baseball returning in 1977.
| Year | Final Host | Medalists | |||||||
|---|---|---|---|---|---|---|---|---|---|
| width=17% | Gold | Silver | Bronze | ||||||
San Salvador | |||||||||
Guatemala City | |||||||||
Tegucigalpa | |||||||||
San Salvador | |||||||||
San Pedro Sula | |||||||||
Guatemala City | |||||||||
 Managua | |||||||||
 Panama City | |||||||||
San Jose | |||||||||
Managua | width=8.5% | width=8.5% | |||||||