Rules of procedure
The South American Games are the continent's multi-sports event. Athletes from countries in Central America and the Caribbean also take part in them. The Games are the most important competition of the South American Sports Organization (ODESUR).

One of the characteristics of the South American Games is that it gathers Olympic sports, like Athletics and Swimming, as well as other sports, not included in the Olympic program, such as Bowling and Karate. The Games are held every four years. Its first edition took place in November 1978, in La Paz, Bolivia.

Check below the overall medal rankings for all editions of the South American Games.

Medal ranking
 Countries Gold Silver Bronze Total

 Argentina

635 472 408 1515

 Brazil

310 250 212 772

 Venezuela

258 208 184 650

 Chile

227 295 316 838

 Peru

132 197 248 577

 Ecuador

119 157 187 463

 Colombia

115 104 87 306

 Uruguay

55 84 107 246

 Bolivia

29 66 124 219

 Paraguay

7 18 36 61

 Panama

7 9 13 29

 Netherlands  Antillanas

6 7 12 25

 Surinam

6 3 4 13

 Aruba

0 1 9 10

 Guyana

0 1 7 8
 Total 1906 1872 1954 5732

 Ranking by total number of medals
 Countries Gold Silver Bronze Total

 Argentina

635 472 408 1515

 Chile

227 295 316 838

 Brazil

310 250 212 772

 Venezuela

258 208 184 650

 Peru

132 197 248 577

 Ecuador

119 157 187 463

 Colombia

55 84 107 246

 Uruguay

29 66 124 219

 Bolivia

7 18 36 61

 Paraguay

7 9 13 29

 Panama

6 7 12 25

 Neth. Ant

6 3 4 13

 Surinam

6 1 9 10

 Aruba

0 0 7 7

 Guyana

0 1 7 8
 Total 1906 1872 1954 5732


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