Handball has been a Central American and Caribbean Games event since 1993 in Ponce, Puerto Rico. In addition to crowning the handball champions of the Central American and Caribbean Games, the tournament also serves as a qualifying tournament for the Pan American Games.
| Year | Host | width=1% rowspan=9 bgcolor=ffffff | Final | width=1% rowspan=9 bgcolor=ffffff | Third place match | ||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| width=15% | Champion | width=9% | Score | width=15% | Runner-up | width=15% | Third place | width=9% | Score | width=15% | Fourth place |
| 1993 Details | Ponce | 29–14 | 25–21 | ||||||||
| 2002 Details | San Salvador | 34–32 | 32–20 | ||||||||
| 2006 Details |  Santo Domingo | 32–28 | 33–28 | ||||||||
| 2010 Details | Mayaguez | 40–28 | 30–24 | ||||||||
| 2014 Details |  Veracruz | 37–27 | 32–22 | ||||||||
| 2018 Details |  Barranquilla | 29–18 | 33–32 | ||||||||
| 2023 Details |  San Salvador | 30–29 | 32–29 | ||||||||
| width=170 | Nation | 1993 | 2002 | 2006 | 2010 | 2014 | 2018 | 2023 | Years | ||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| - | - | - | - | 5th | 5th | - | 2 | ||||||
| 5th | - | - | - | 8th | 7th | 6th | 4 | ||||||
| bgcolor=gold | 1st | - | bgcolor=silver | 2nd | - | 3rd | bgcolor=gold | 1st | bgcolor=gold | 1st | 5 | ||
| - | bgcolor=gold | 1st | bgcolor=gold style="border:3px solid red" | 1st | bgcolor=gold | 1st | bgcolor=silver | 2nd | 4th | bgcolor=silver | 2nd | 6 | |
| - | - | - | 7th | - | - | 8th | 3 | ||||||
| 4th | 4th | 6th | 5th | 6th | 6th | – | 6 | ||||||
| - | - | 7th | - | - | 8th | – | 2 | ||||||
| bgcolor=silver | 2nd | 3rd | 3rd | 3rd | 4th | 3rd | 3rd | 7 | |||||
| - | - | - | 6th | 7th | - | 7th | 3 | ||||||
| bgcolor=#cc9966 style="border:3px solid red" | 3rd | bgcolor=silver | 2nd | 4th | 4th | bgcolor=gold | 1st | bgcolor=silver | 2nd | 4th | 7 | ||
| - | - | 5th | bgcolor=silver | 2nd | - | - | 5th | 3 | |||||
| Total | 5 | 4 | 7 | 7 | 8 | 8 | 8 |
| Year | Host | width=1% rowspan=9 bgcolor=ffffff | Final | width=1% rowspan=9 bgcolor=ffffff | Third place match | ||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| width=15% | Champion | width=9% | Score | width=15% | Runner-up | width=15% | Third place | width=9% | Score | width=15% | Fourth place |
| 1993 Details | Ponce | 31–19 | 15–10 | ||||||||
| 2002 Details | San Salvador | 26–24 | 28–24 | ||||||||
| 2006 Details | Santo Domingo | 36–24 | 23–19 | ||||||||
| 2010 Details | Mayaguez | 27–19 | 41–16 | ||||||||
| 2014 Details | Veracruz | 32–18 | 24–15 | ||||||||
| 2018 Details | Barranquilla | 29–25 | 29–21 | ||||||||
| 2023 Details | San Salvador | 29–28 | 29–27 | ||||||||
| width=170 | Nation | 1993 | 2002 | 2006 | 2010 | 2014 | 2018 | 2023 | Years | |||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| - | - | - | - | 5th | 6th | 5th | 3 | |||||
| 3rd | 5th | - | 4th | 7th | 7th | 7th | 6 | |||||
| bgcolor=gold | 1st | - | bgcolor=gold | 1st | - | bgcolor=gold | 1st | 3rd | bgcolor=gold | 1st | 5 | |
| - | bgcolor=gold | 1st | bgcolor=silver style="border:3px solid red" | 2nd | bgcolor=gold | 1st | 4th | bgcolor=gold | 1st | 3rd | 6 | |
| - | style="border:3px solid red" | - | 5th | 5th | - | - | 8th | 3 | ||||
| 5th | 4th | 6th | 6th | 8th | 5th | – | 6 | |||||
| bgcolor=silver | 2nd | bgcolor=silver | 2nd | 4th | 3rd | bgcolor=#cc9966 style="border:3px solid red" | 3rd | 4th | 4th | 7 | ||
| - | - | - | - | 6th | 8th | 6th | 3 | |||||
| 4th | 3rd | 3rd | bgcolor=silver style="border:3px solid red" | 2nd | bgcolor=silver | 2nd | bgcolor=silver | 2nd | bgcolor=silver | 2nd | 7 | |
| Total | 5 | 5 | 6 | 6 | 8 | 8 | 8 |