Boules is one of the sports at the quadrennial Mediterranean Games competition. It has been a sport in the program of the Mediterranean Games since its inception in 1997.
| Games | Year | Host | Winner of the medal table | Second in the medal table | Third in the medal table |
|---|---|---|---|---|---|
| XIII | 1997 |  Bari |
 Italy |
 France |
 Tunisia
|
| XIV | 2001 |  Tunis |
France |
 Spain |
 Slovenia
|
| XV | 2005 |  Almería |
France |
 Italy |
 Tunisia
|
| XVI | 2009 | Pescara |
Italy |
France |
Tunisia
|
| XVII | 2013 |  Mersin |
Italy |
France |
 Turkey
|
| XVIII | 2018 | Tarragona |
Tunisia |
 Croatia |
France
|
| XIX | 2022 |  Oran |
Turkey |
France |
Italy
|
Updated after the 2022 Mediterranean Games
| Rank | Nation | Gold | Silver | Bronze | Total |
|---|---|---|---|---|---|
| 1 | Italy (ITA) | 15 | 11 | 11 | 37 |
| 2 | France (FRA) | 14 | 8 | 8 | 30 |
| 3 | Tunisia (TUN) | 8 | 4 | 5 | 17 |
| 4 | Turkey (TUR) | 6 | 6 | 5 | 17 |
| 5 | Slovenia (SLO) | 3 | 3 | 4 | 10 |
| 6 | Croatia (CRO) | 3 | 3 | 2 | 8 |
| 7 |  San Marino (SMR) | 2 | 7 | 3 | 12 |
| 8 | Spain (ESP) | 1 | 6 | 3 | 10 |
| 9 |  Montenegro (MNE) | 1 | 1 | 0 | 2 |
| 10 |  Algeria (ALG) | 0 | 2 | 5 | 7 |
| 11 |  Malta (MLT) | 0 | 1 | 2 | 3 |
 Morocco (MAR) | 0 | 1 | 2 | 3 | |
| 13 |  Serbia (SRB) | 0 | 0 | 2 | 2 |
| 14 |  Libya (LBA) | 0 | 0 | 1 | 1 |
| Totals (14 entries) | 53 | 53 | 53 | 159 | |