This is the all-time medal table of the World Games as of the 2022 edition. In the history of the games, Russia (2001, 2005, 2009 and 2017) has led the total medal count four times, and Italy (1985, 1989 and 2013) three times. The United States have claimed that honor twice (1981 and 1997), while Germany (West Germany in the first three editions) also led the overall count twice in 1993 and in 2022.[1][2][3][4][5][6][7] Ranked by gold, then silver, then bronze:
| Rank | Nation | Gold | Silver | Bronze | Total |
|---|---|---|---|---|---|
| 1 |  Italy[a] | 166 | 171 | 153 | 490 |
| 2 |  Germany[c] | 162 | 118 | 156 | 436 |
| 3 |  United States[b] | 161 | 137 | 115 | 413 |
| 4 |  Russia[d] | 137 | 110 | 72 | 319 |
| 5 |  France | 114 | 116 | 121 | 351 |
| 6 |  China | 78 | 59 | 29 | 166 |
| 7 |  Great Britain[b][e] | 65 | 65 | 95 | 225 |
| 8 |  Japan | 65 | 49 | 65 | 179 |
| 9 |  Ukraine[f] | 58 | 59 | 54 | 171 |
| 10 |  Spain | 47 | 49 | 49 | 145 |
| 11 |  Sweden[e] | 44 | 44 | 55 | 143 |
| 12 |  Netherlands | 43 | 45 | 54 | 142 |
| 13 |  Belgium | 42 | 42 | 46 | 130 |
| 14 |  South Korea | 42 | 24 | 30 | 96 |
| 15 |  Colombia | 38 | 50 | 32 | 120 |
| 16 |  Australia | 36 | 55 | 48 | 139 |
| 17 |  Chinese Taipei | 31 | 39 | 37 | 107 |
| 18 |  Hungary[g] | 27 | 21 | 32 | 80 |
| 19 |  Canada | 26 | 29 | 41 | 96 |
| 20 |  Switzerland | 25 | 34 | 20 | 79 |
| 21 |  Denmark | 24 | 12 | 16 | 52 |
| 22 |  Poland | 18 | 20 | 30 | 68 |
| 23 |  Austria | 17 | 23 | 21 | 61 |
| 24 |  Brazil[f] | 17 | 13 | 18 | 48 |
| 25 |  Norway | 16 | 20 | 34 | 70 |
| 26 |  Soviet Union[d] | 15 | 13 | 8 | 36 |
| 27 |  Bulgaria | 15 | 4 | 11 | 30 |
| 28 |  Belarus | 14 | 8 | 27 | 49 |
| 29 |  Mexico | 12 | 11 | 18 | 41 |
| 30 |  Finland[h] | 11 | 23 | 24 | 58 |
| 31 |  Czech Republic | 11 | 17 | 22 | 50 |
| 32 |  New Zealand | 11 | 15 | 11 | 37 |
| 33 |  Egypt | 8 | 15 | 19 | 42 |
| 34 |  Thailand | 8 | 13 | 8 | 29 |
| 35 |  Slovenia | 7 | 13 | 11 | 31 |
| 36 |  South Africa | 7 | 11 | 18 | 36 |
| 37 |  Israel | 7 | 4 | 11 | 22 |
| 38 |  Croatia | 6 | 9 | 8 | 23 |
| 39 |  Portugal | 6 | 8 | 12 | 26 |
| 40 |  Slovakia | 6 | 7 | 9 | 22 |
| 41 |  Kazakhstan | 6 | 4 | 7 | 17 |
| 42 |  Greece | 5 | 11 | 7 | 23 |
| 43 |  Argentina | 5 | 9 | 16 | 30 |
| 44 |  Venezuela | 5 | 9 | 12 | 26 |
| 45 |  Romania | 5 | 9 | 4 | 18 |
| 46 |  Indonesia | 5 | 4 | 7 | 16 |
| 47 |  Vietnam | 5 | 1 | 0 | 6 |
| 48 |  Chile | 4 | 7 | 5 | 16 |
| 49 |  Lithuania | 4 | 5 | 8 | 17 |
| 50 |  Mongolia | 4 | 5 | 3 | 12 |
| 51 |  Malaysia | 4 | 2 | 6 | 12 |
| 52 |  Serbia | 4 | 2 | 2 | 8 |
| 53 |  Philippines | 3 | 5 | 5 | 13 |
| 54 |  Ireland | 3 | 4 | 5 | 12 |
| 55 |  Estonia | 3 | 4 | 1 | 8 |
| 56 |  Turkey | 3 | 3 | 12 | 18 |
| 57 |  United Arab Emirates | 3 | 2 | 7 | 12 |
| 58 |  Azerbaijan | 3 | 2 | 3 | 8 |
| 59 |  Fiji | 3 | 0 | 0 | 3 |
 Moldova | 3 | 0 | 0 | 3 | |
| 61 |  Iran[h] | 2 | 9 | 4 | 15 |
| 62 |  Morocco | 2 | 4 | 5 | 11 |
| 63 |  Singapore | 2 | 2 | 2 | 6 |
| 64 |  Bosnia and Herzegovina | 2 | 1 | 3 | 6 |
| 65 |  Algeria | 2 | 1 | 0 | 3 |
| 66 |  Cambodia | 2 | 0 | 0 | 2 |
| 67 |  Hong Kong | 1 | 3 | 5 | 9 |
| 68 |  Luxembourg | 1 | 3 | 3 | 7 |
| 69 |  Uzbekistan | 1 | 2 | 2 | 5 |
| 70 |  Qatar[f] | 1 | 2 | 1 | 4 |
| 71 |  Ecuador | 1 | 1 | 5 | 7 |
| 72 |  India | 1 | 1 | 4 | 6 |
| 73 |  Peru | 1 | 1 | 3 | 5 |
| 74 |  Brunei | 1 | 1 | 0 | 2 |
 Guatemala | 1 | 1 | 0 | 2 | |
| 76 |  Costa Rica | 1 | 0 | 0 | 1 |
 Saudi Arabia | 1 | 0 | 0 | 1 | |
| 78 |  Dominican Republic | 0 | 4 | 4 | 8 |
| 79 |  Jordan | 0 | 3 | 2 | 5 |
| 80 |  U.S. Virgin Islands | 0 | 3 | 1 | 4 |
| 81 | Czechoslovakia | 0 | 3 | 0 | 3 |
| 82 |  Bahrain | 0 | 2 | 1 | 3 |
| 83 |  Ivory Coast | 0 | 1 | 3 | 4 |
| 84 |  Kyrgyzstan | 0 | 1 | 1 | 2 |
 Madagascar | 0 | 1 | 1 | 2 | |
| 86 |  Latvia | 0 | 1 | 0 | 1 |
 Liechtenstein | 0 | 1 | 0 | 1 | |
 San Marino | 0 | 1 | 0 | 1 | |
| 89 |  Montenegro | 0 | 0 | 3 | 3 |
| 90 |  Jamaica | 0 | 0 | 2 | 2 |
| 91 |  Bahamas | 0 | 0 | 1 | 1 |
 Bolivia | 0 | 0 | 1 | 1 | |
 El Salvador | 0 | 0 | 1 | 1 | |
 Georgia | 0 | 0 | 1 | 1 | |
 Kuwait | 0 | 0 | 1 | 1 | |
 Monaco | 0 | 0 | 1 | 1 | |
 Nigeria | 0 | 0 | 1 | 1 | |
 Pakistan | 0 | 0 | 1 | 1 | |
 Panama | 0 | 0 | 1 | 1 | |
 Tunisia | 0 | 0 | 1 | 1 | |
 Yugoslavia | 0 | 0 | 1 | 1 | |
| Totals (101 entries) | 1746 | 1716 | 1816 | 5278 | |
- ^ The results from the 2001 World Games are from the archived website of the Akita, Japan, organizing committee.[2][8][9][10][11][12][13][14][15][16][17][18][19][20]
- ^ a b The 1997 bronze medalists in aerobics mixed pair were from Great Britain, not United States as stated in IWGA source.[21]
- ^ In 2017, Germany was stripped of a gold medal in women's bowling for doping. This table reflects the reallocation of medals for that event.[22]
- ^ a b The Soviet Union, which amassed 36 total medals in 1989, is counted separately from its successor states, including Russia. This is consistent with the separate counting of medals for other states that sub-divided into their constituent successor states following their initial participation in the World Games. These include Czechoslovakia (Czech Republic and Slovakia) and FR Yugoslavia (2001)/SUSM (2005) (Serbia and Montenegro).
- ^ a b The 1981 mixed badminton title was won by a pair of players from Sweden and Great Britain. Both nations are counted as having won a gold medal.
- ^ a b c In 2009, Ukraine was stripped of two gold medals in bodybuilding for doping, and Qatar and Brazil were each stripped of a silver medal. This table does not include those stripped medals, and neither does it include possible reallocation of those medals, as the results at the World Games website do not reflect a reallocation.[3]
- ^ In 2009 and 2013, Hungary was stripped of a gold medal and a silver medal, respectively, in sumo for doping. This table reflects the reallocation of medals for these two events.[3][4][5]
- ^ a b The 1993 bronze medalist in men's 75kg karate kumite was from Iran, not Finland as stated in IWGA source.[23]