Baseball was a sport at the inaugural Central American Games in 1926 and it has remained part of the event's sporting programme throughout its history. Cuba has dominated the tournament since its inception.
| Year | Final Host | Medalists | ||||||
|---|---|---|---|---|---|---|---|---|
| width=17% | Gold | Silver | Bronze | |||||
details |  Mexico City | |||||||
details |  Havana | |||||||
details |  San Salvador | width=8.5% | width=8.5% | |||||
details |  Panama City | |||||||
details |  Barranquilla | |||||||
details | Guatemala City | |||||||
details | Mexico City | |||||||
details |  Caracas | |||||||
details |  Kingston | |||||||
details | San Juan | |||||||
details | Panama City | |||||||
details |  Santo Domingo | |||||||
details | Medellin | |||||||
details | Havana | |||||||
details | Santiago | |||||||
details | Mexico City | |||||||
details | Ponce | |||||||
details | Maracaibo | |||||||
details | San Salvador | |||||||
details | Cartagena | width=8.5% | width=8.5% | |||||
details | Mayagüez | |||||||
details | Veracruz | |||||||
details | Barranquilla | |||||||
details | San Salvador | |||||||