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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.[citation needed]
| Rank | Nation | Gold | Silver | Bronze | Total |
|---|---|---|---|---|---|
| 1 |  Cuba (CUB) | 15 | 3 | 1 | 19 |
| 2 |  Dominican Republic (DOM) | 3 | 4 | 4 | 11 |
| 3 |  Puerto Rico (PUR) | 3 | 3 | 3 | 9 |
| 4 |  Mexico (MEX) | 1 | 6 | 3 | 10 |
| 5 |  Venezuela (VEN) | 1 | 1 | 4 | 6 |
| 6 |  Colombia (COL) | 1 | 0 | 1 | 2 |
| 7 |  Nicaragua (NIC) | 0 | 4 | 3 | 7 |
| 8 |  Panama (PAN) | 0 | 3 | 4 | 7 |
| 9 |  Netherlands Antilles (ANT) | 0 | 1 | 0 | 1 |
| Totals (9 entries) | 24 | 25 | 23 | 72 | |
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