Handball has been a South American Games event since 2002 in São Bernardo do Campo, Brazil. In addition to crowning the handball champions of the South American Games, the tournament also serves as a qualifying tournament for the Pan American Games.
| Year | Host | width=1% rowspan=100 bgcolor=ffffff | Final | width=1% rowspan=100 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 |
| 2002 Details |  São Bernardo do Campo | 20–18 | 24–17 | ||||||||
| 2006 Details |  Mar del Plata | 28–21 | 43–24 | ||||||||
| 2010 Details |  Medellin | No playoffs | No playoffs | ||||||||
| 2014 Details | Santiago | 25–23 | 27–21 | ||||||||
| 2018 Details |  Cochabamba | 25–22 | 23–20 | ||||||||
| 2022 Details | Asunción | No playoffs | No playoffs | ||||||||
| width=170 | Nation | 2002 | 2006 | 2010 | 2014 | 2018 | 2022 | Years | |||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| bgcolor=gold | 1st | bgcolor=gold | 1st | bgcolor=silver | 2nd | bgcolor=silver | 2nd | bgcolor=silver | 2nd | bgcolor=gold | 1st | 6 | |
| - | - | - | - | 7th | - | 1 | |||||||
| bgcolor=silver | 2nd | - | bgcolor=gold | 1st | bgcolor=gold | 1st | bgcolor=gold | 1st | - | 4 | |||
| 4th | 3rd | 3rd | 3rd | 3rd | bgcolor=silver | 2nd | 6 | ||||||
| - | - | 5th | 7th | - | - | 2 | |||||||
| 5th | 4th | - | 6th | - | 4th | 4 | |||||||
| - | - | - | - | 6th | - | 1 | |||||||
| 3rd | bgcolor=silver | 2nd | 4th | 4th | 4th | 3rd | 6 | ||||||
| - | - | - | 5th | 5th | 5th | 3 | |||||||
| Total | 5 | 4 | 5 | 7 | 7 | 5 |
| Year | Host | width=1% rowspan=100 bgcolor=ffffff | Final | width=1% rowspan=100 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 |
| 2002 Details | São Bernardo do Campo | 26–13 | 25–16 | ||||||||
| 2006 Details | Mar del Plata | 27–26 | 24–23 | ||||||||
| 2010 Details | Medellín | No playoffs | No playoffs | ||||||||
| 2014 Details | Santiago | No playoffs | No playoffs | ||||||||
| 2018 Details | Cochabamba | 26–12 | 31–25 | ||||||||
| 2022 Details | Asunción | No playoffs | No playoffs | ||||||||
| width=170 | Nation | 2002 | 2006 | 2010 | 2014 | 2018 | 2022 | Years | ||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| bgcolor=silver | 2nd | bgcolor=gold | 1st | bgcolor=gold | 1st | bgcolor=silver | 2nd | bgcolor=silver | 2nd | 3rd | 6 | |
| - | - | - | - | 7th | 6th | 2 | ||||||
| bgcolor=gold | 1st | - | bgcolor=silver | 2nd | bgcolor=gold | 1st | bgcolor=gold | 1st | bgcolor=gold | 1st | 5 | |
| - | 3rd | 4th | 3rd | 3rd | 5th | 5 | ||||||
| - | - | 6th | - | - | - | 1 | ||||||
| 4th | bgcolor=silver | 2nd | 5th | 5th | 4th | bgcolor=silver | 2nd | 6 | ||||
| - | - | - | - | 6th | - | 1 | ||||||
| 3rd | 4th | 3rd | 4th | 5th | 4th | 6 | ||||||
| Total | 4 | 4 | 6 | 5 | 7 | 6 |