The karate tournament at the 2009 Mediterranean Games was held in the FEPO Sports Hall from June 30 to July 1, 2009, in Pescara, Italy.
| Kumite −60 kg |  Michele Giuliani |  Amin Ramadan |  Edin MuslićDanil Domdjoni | |
| Kumite −67 kg | Dimitrios Triantafyllis | Mostafa El Sembwiy |  Valentin Popa Mohammad Sihba | |
| Kumite −75 kg |  Kenji Grillon | Luigi Busà | Sayed AbdelNabi Serkan Yağcı | |
| Kumite −84 kg | Konstantinos Papadopoulos | Salvatore Loria | Hany Keshta Jean Taumotekava | |
| Kumite +84 kg |  Francisco Martínez |  Almir Cecunjanin | Spyridon Margaritopoulos Stefano Maniscalco |
| Kumite −50 kg | Gülderen Çelik | Sara Cardin | Betty Aquilina Biljana Stojović | |
| Kumite −55 kg |  Dhouha Ben Othman | Jelena Kovačević | Ilhem El Djou Selene Guglielmi | |
| Kumite −61 kg | Lolita Dona | Laura Pasqua | Carmen Vicente Vildan Doğan | |
| Kumite −68 kg | Petra Volf | Vasiliki Panetsidou | Arnela Odžaković Irene Colomar | |
| Kumite +68 kg | Shymaa Elsayed | Merima Softić | Cristina Feo Yıldız Aras |
| width=50 | Rank | width=200 | Nation | width=50 | width=50 | width=50 | width=50 | Total | |||
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | 2 | 1 | 1 | 4 | |||||||
| 2 | 2 | 0 | 2 | 4 | |||||||
| 3 | 1 | 4 | 2 | 7 | |||||||
| 4 | 1 | 2 | 2 | 5 | |||||||
| 5 | 1 | 1 | 1 | 3 | |||||||
| 6 | 1 | 0 | 3 | 4 | |||||||
| 1 | 0 | 3 | 4 | ||||||||
| 8 | 1 | 0 | 0 | 1 | |||||||
| 9 | 0 | 1 | 2 | 3 | |||||||
| 10 | 0 | 1 | 0 | 1 | |||||||
| 11 | 0 | 0 | 2 | 2 | |||||||
| 12 | 0 | 0 | 1 | 1 | |||||||
| 0 | 0 | 1 | 1 | ||||||||
| Total | 10 | 10 | 20 | 40 | |||||||