Racquetball has been included at the Central American and Caribbean Games since 1990. Over that period Mexican players have dominated the podium, winning gold at every event in Men's and Women's Doubles, and winning gold in Men's and Women's Singles all but two times each. Mexico has also won every gold medal in the Men's and Women's Team events. Venezuela has the second most medals in men's events, while the Dominican Republic has won the second most medals in women's events.
There was a playoff in Men's and Women's Singles and Doubles for the bronze medal the first three times racquetball was in the Central American and Caribbean Games, but in 2002 that playoff was eliminated with both semi-finalists awarded bronze medals.
| 1990[1] | Raúl Torres | Juan Quevedo | Sergio Montealegre |
| 1993 | Fabian Balmori | Alvaro Maldonado | Luis Muñoz |
| 1998 | Fabian Balmori | Gilberto Rodriguez | Luis Gomez |
| 2002 | Gilberto Mejia | Álvaro Beltrán | Simon Perdomo  Belize Matthew Anderson |
| 2006 | Gilberto Mejia | Fabian Balmori | César Castro Álvaro Beltrán |
| 2010[2] | Álvaro Beltrán | Gilberto Mejia | César Castro Simón Perdomo |
| 2014[3] | Álvaro Beltrán | Daniel de la Rosa | Alejandro Herrera Felipe Camacho |
| 2018[4] | Daniel de la Rosa | Mario Mercado | Andrés Acuña Luis Perez |
| 2023[5] | Edwin Galicia (CCS) | ||
| 1990 | Francisco Martin Arturo Martin | Orlando López Mauricio Morera | Andrés Marranzini Antonio Valenzuela |
| 1993 | Javier Moreno Luis Muñoz | Fabian Balmori Jorge Hirsekorn | Marco Cobb Rodrigo Naranjo |
| 1998 | Javier Moreno Ignacio Bustillos | Ralf Reinhard Jorge Hirsekorn | Gustavo Morales Manolo Benfeldt |
| 2002 | Javier Moreno César Guzmán | Osvaldo Garcia Curtis Winters | Gustavo Morales Manolo Benfeldt Ralf Reinhard César Castro |
| 2006 | Javier Moreno Alejandro Peña | Gustavo Morales Manolo Benfeldt | Fabian Balmori Jorge Hirsekorn Raul Martinez Maikel Moyet |
| 2010 | Javier Moreno Polo Gutiérrez | Luis Pérez Simón Perdomo | Felipe Camacho Teobaldo Fumero Fabian Balmori Jorge Hirsekorn |
| 2014 | Álvaro Beltrán Javier Moreno | Luis Perez Junior Rodriguez | Edwin Galicia Christian Wer Cesar Castillo César Castro |
| 2018 | Álvaro Beltrán Daniel de la Rosa | Andrés Acuña Felipe Camacho | Mario Mercado Set Cubillos Luis Perez Ramon De Leon |
| 2023[6] | Rodrigo Montoya Francisco Mar | Andrés Acuña Gabriel Garcia | Centro Caribe Sports (CCS) Juan Salvatierra Christian Wer Yandy Espinoza Maikel Moyet |
| 1990 | Raul Torres Juan Quevedo Eduardo Vizcaya Arturo Martin Francisco Martin | Fabian Balmori Jorge Hirsekorn César Castro | Jeffeer León Ricaurter Miranda Osmán Guillén Femán de la Guardia |
| 1993 | Alvaro Maldonado Luis Muñoz Juan Quevedo Javier Moreno | Fabian Balmori Jorge Hirsekorn Rodrigo Ureva |  Puerto RicoGilberto Rodriguez Victor Álvarez Osvaldo Garcia Ray Martinez |
| 1998 | Álvaro Beltrán Alvaro Maldonado Javier Moreno Ignacio Bustillos | Fabian Balmori Jorge Hirsekorn Ralf Reinhard Antonio Yamin | Gilberto Rodriguez Miguel Santiago Perry López |
| 2002 | Gilberto Mejia Álvaro Beltrán Javier Moreno César Guzmán | Osvaldo Garcia Curtis Winters | Gustavo Morales Manolo Benfeldt Juan Salvatierra Fernando Sierra |
| 2006 | Gilberto Mejia Álvaro Beltrán Javier Moreno Alejandro Peña | Fabian Balmori Jorge Hirsekorn César Castro | Gustavo Morales Manolo Benfeldt Juan Salvatierra Fernando Sierra |
| 2010 | Álvaro Beltrán Gilberto Mejía Javier Moreno Polo Gutierrez | Luis Pérez Simón Perdomo | César Castro Marcelo Laprea Fabian Balmori Jorge Hirsekorn |
| 2014[7] | Álvaro Beltrán Javier Moreno Daniel de la Rosa | Felipe Camacho Andrés Acuña Andres Aviles Joaquin Solera | Alejandro Herrera Cesar Castillo César Castro Luis Perez Junior Rodriguez |
| 2018 | Álvaro Beltrán Daniel de la Rosa Rodrigo Montoya | Felipe Camacho Andrés Acuña | Cesar Castillo César Castro Luis Perez Ramon De Leon |
| 2023[8] | Rodrigo Montoya Eduardo Portillo Francisco Mar | Andrés Acuña Felipe Camacho Gabriel Garcia | Yandy Espinoza Maikel Moyet Cristian Menedez Centro Caribe Sports (CCS) Juan Salvatierra Edwin Galicia Christian Wer |
| 1990 | Hilda Rodriguez | Diana Almeida | Rosa Gómez |
| 1993 | Claudine García | Rosy Torres | Puerto Rico Anita Maldonado |
| 1998 | Anita Maldonado | Susana Acosta | Maria Torres |
| 2002 | Susana Acosta | Claudine García | Anita Maldonado Maria Torres |
| 2006 | Paola Longoria | Claudine García | Anita Maldonado Susana Acosta |
| 2010 | Paola Longoria | Claudine García | Anita Maldonado Jessica Parrilla |
| 2014 | Paola Longoria | Samantha Salas | Cristina Amaya Gabriela Martínez |
| 2018 | Paola Longoria | Gabriela Martínez | Merynanyelly Delgado Alexandra Herrera |
| 2023[9] | Ana Martínez (CCS) | ||
| 1990 | Hilda Rodriguez Diana Almeida | Gloriana Herrera Andrea Ortiz | Rosa Gómez Claudine García |
| 1993 | Hilda Rodriguez Diana Almeida | Rose Koberg Andrea Ortiz | Mercedes Valentiner Matheus Guidmar |
| 1998 | Maria Torres Karina Hamilton | Mercedes Valentiner Lily Geyer | Claudine García Karina Saviñón |
| 2002 | Rosy Torres Nancy Enriquez | Rosa Gómez Claudine García | Anita Maldonado Marta Cañellas Matheus Guidmar Lily Geyer |
| 2006 | Samantha Salas Nancy Enriquez | Patricia Balebona Rosario Dominguez | Rosa Gómez Claudine García Jennifer Benfeldt Lucy de Zachrisson |
| 2010 | Samantha Salas Susana Acosta | Claudine García Yira Portes | Marie Gomar Lucy de Zachrisson Deborah Kessler Naomi Sasso |
| 2014 | Paola Longoria Samantha Salas | Gabriela Martínez Maria Rodriguez | Cristina Amaya Maria Gomez Mariana Tabon Mariana Paredes |
| 2018 | Paola Longoria Samantha Salas | Gabriela Martínez Maria Rodriguez | Maricruz Ortiz Melania Sauma Cristina Amaya Adriana Riveros |
| 2023[10] | Alexandra Herrera Montserrat Mejía | Centro Caribe Sports (CCS) María Rodríguez Ana Martínez | Jimena Gómez Maricruz Ortiz Merynanyelly Delgado Alejandra Jiménez |
| 1990 | Diana Almeida Hilda Rodriguez Patricia Hernández | Gloriana Herrera Andrea Ortiz Rose Koberg | Rosa Gómez Claudine García |
| 1993 | Diana Almeida Hilda Rodriguez Rosy Torres | Mercedes Valentiner Matheus Guidmar Lily Geyer Valentina Pereira | Rose Koberg Andrea Ortiz Maria Arias |
| 1998 | Susana Acosta Maria Torres Karina Hamilton Adriana Soto | Mercedes Valentiner Lily Geyer | Claudine García Karina Saviñón |
| 2002 | Susana Acosta Maria Torres Rosy Torres Nancy Enriquez | Rosa Gómez Claudine García Larissa Linás | Anita Maldonado Marta Cañellas |
| 2006 | Paola Longoria Susana Acosta Samantha Salas Nancy Enriquez | Marialis Álvarez Patricia Balebona Rosario Dominguez | Rosa Gómez Claudine García Yira Portes |
| 2010 | Paola Longoria Jessica Parrilla Samantha Salas Susana Acosta | Claudine García Yira Portes | Anita Maldonado Raquel Pérez Vivian Rodríguez Kim Venegas |
| 2014 | Paola Longoria Samantha Salas | Gabriela Martínez Maria Rodriguez | Cristina Amaya Maria Gomez Mariana Tabon Mariana Paredes |
| 2018 | Paola Longoria Samantha Salas | Cristina Amaya Adriana Riveros | Maricruz Ortiz Melania Sauma Gabriela Martínez Maria Rodriguez |
| 2023[11] | Paola Longoria Montserrat Mejia Alexandra Herrera | Centro Caribe Sports (CCS) Ana Martinez Anna Aguilar Maria Rodriguez | Merynanyelly Delgado Maria Cespedes Alejandra Jimenez Maricruz Ortiz Jimena Gomez |
| 2023[12] | Eduardo Portillo Paola Longoria | Centro Caribe Sports (CCS) Ana Martínez Edwin Galicia | Maricruz Ortiz Andrés Acuña Ramon de León Maria Céspedes |
Note: Guatemalan born players competed as Centro Caribe Sports at the 2023 Central American and Caribbean Games, but their medals are added to Guatemala in the above tables.
| Rank | Name | Gold | Silver | Bronze | Total |
|---|---|---|---|---|---|
| 1 | Claudine Garcia | 1 | 7 | 6 | 14 |
| 2 | 13 | 0 | 0 | 13 | |
| 3 | Javier Moreno | 12 | 0 | 0 | 12 |
| 3 | 10 | 1 | 1 | 12 | |
| 5 | Fabian Balmori | 2 | 6 | 3 | 11 |
| 6 | 0 | 8 | 2 | 10 | |
| 7 | 8 | 1 | 0 | 9 | |
| 7 | Jorge Hirsekorn | 0 | 6 | 3 | 9 |
| 7 | César Castro | 0 | 2 | 7 | 9 |
| 10 | 0 | 5 | 3 | 8 | |
| 10 | Anita Maldonado | 1 | 0 | 7 | 8 |
| 12 | 6 | 0 | 1 | 7 | |
| 12 | Luis Pérez | 0 | 3 | 4 | 7 |
| 14 | Gilberto Mejia | 5 | 1 | 0 | 6 |
| 14 | Felipe Camacho | 0 | 4 | 2 | 6 |
| 14 | Maria Renee Rodriguez | 0 | 5 | 1 | 6 |
| 14 | Maricruz Ortiz | 0 | 0 | 6 | 6 |
| 18 | 4 | 1 | 0 | 5 | |
| 18 | 0 | 1 | 4 | 5 | |
| 18 | Manolo Benfeldt | 0 | 1 | 4 | 5 |
| 18 | Gustavo Morales | 0 | 1 | 4 | 5 |