# List of Pan American Games medalists in swimming

This is the complete list of Pan American Games medalists in swimming for men's, women's, and mixed relay events. Swimming has been a part of the Pan American Games since the Games' first edition in 1951.

## Men's events
### 50 m freestyle

| Games | Gold | Gold | Silver | Silver | Bronze | Bronze |
| 1987 | Tom Williams | 22.55 | Michael Neuhofel | 22.84 | Claude Lamy Hilton Woods | 23.39 |
| 1991 | Todd Pace | 22.60 | Adam Schmitt | 22.61 | Gustavo Borges | 22.82 |
| 1995 | Fernando Scherer | 22.65 | Bill Pilczuk | 22.71 | Tom Jager | 22.75 |
| 1999 | Fernando Scherer | 22.24 | José Meolans | 22.46 | Marcos Hernández | 22.79 |
| 2003 | Fernando Scherer | 22.40 | José Meolans | 22.42 | Gary Hall Jr. | 22.43 |
| 2007 | César Cielo | 21.84 | Nicholas Santos | 22.18 | George Bovell | 22.30 |
| 2011 | César Cielo | 21.58 | Bruno Fratus | 22.05 | Hanser García | 22.15 |
| 2015 | Josh Schneider | 21.86 | Bruno Fratus | 21.91 | George Bovell | 22.17 |
| 2019 | Bruno Fratus | 21.61 | Nathan Adrian | 21.87 | Michael Chadwick | 21.99 |
| 2023 | David Curtiss | 21.85 | Jonny Kulow | 21.90 | Lamar Taylor | 22.13 |

### 100 m freestyle

| Games | Gold | Gold | Silver | Silver | Bronze | Bronze |
| 1951 | Dick Cleveland | 58.8 | Ronald Gora | 59.5 | Nicasio Silverio | 1:00.1 |
| 1955 | Clarke Scholes | 57.7 | George Park | 58.7 | Carl Woolley | 59.3 |
| 1959 | Jeff Farrell | 56.3 | Elton Follett | 57.2 | Bill Woolsey | 57.6 |
| 1963 | Steve Clark | 54.7 | Steven Jackman | 54.8 | Daniel Sherry | 56.1 |
| 1967 | Don Havens | 53.79 | Zac Zorn | 53.97 | Sandy Gilchrist | 54.85 |
| 1971 | Frank Heckl | 52.80 | José Aranha | 53.74 | Robert Kasting | 53.76 |
| 1975 | Richard Abbott | 51.96 | Jack Babashoff | 52.26 | Bruce Robertson | 53.44 |
| 1979 | David McCagg | 50.77 | Fernando Cañales | 51.25 | John Newton | 51.45 |
| 1983 | Rowdy Gaines | 50.38 | Fernando Cañales | 50.43 | Alberto Mestre | 51.09 |
| 1987 | Todd Dudley | 50.24 | Scott McCadam | 50.81 | Mark Andrews | 51.24 |
| 1991 | Gustavo Borges | 49.48 | Joel Thomas | 50.55 | Rodrigo González | 51.25 |
| 1995 | Gustavo Borges | 49.31 | Jon Olsen | 49.39 | Fernando Scherer | 49.79 |
| 1999 | Fernando Scherer | 49.19 | José Martín Meolans | 49.49 | Gustavo Borges | 50.10 |
| 2003 | José Martín Meolans | 49.27 | George Bovell | 49.61 | Gustavo Borges | 49.90 |
| 2007 | César Cielo | 48.79 | José Martín Meolans | 49.42 | Gabe Woodward | 49.59 |
| 2011 | César Cielo | 47.84 | Hanser García | 48.34 | Shaune Fraser | 48.64 |
| 2015 | Federico Grabich | 48.26 | Santo Condorelli | 48.57 | Marcelo Chierighini | 48.80 |
| 2019 | Marcelo Chierighini | 48.09 | Nathan Adrian | 48.17 | Michael Chadwick | 48.88 |
| 2023 | Guilherme Caribé | 48.06 | Brooks Curry Jonny Kulow | 48.38 | Not awarded | Not awarded |

### 200 m freestyle

| Games | Gold | Gold | Silver | Silver | Bronze | Bronze |
| 1967 | Don Schollander | 1:56.01 | Ralph Hutton | 1:58.44 | Julio Arango | 2:01.77 |
| 1971 | Frank Heckl | 1:56.36 | Jim McConica | 1:58.18 | Ralph Hutton | 1:59.89 |
| 1975 | Jorge Delgado | 1:55.45 | Rick DeMont | 1:55.96 | Rex Favero | 1:57.08 |
| 1979 | Rowdy Gaines | 1:51.22 | David Larson | 1:52.24 | Djan Madruga | 1:52.34 |
| 1983 | Bruce Hayes | 1:49.89 | Alberto Mestre | 1:50.36 | Rowdy Gaines | 1:51.27 |
| 1987 | John Witchel | 1:50.90 | Carlos Scanavino | 1:51.21 | Brian Jones | 1:52.11 |
| 1991 | Eric Diehl | 1:49.67 | Gustavo Borges | 1:49.74 | René Sáez | 1:52.14 |
| 1995 | Gustavo Borges | 1:48.49 | Greg Burgess | 1:48.69 | Josh Davis | 1:51.92 |
| 1999 | Gustavo Borges | 1:49.41 | Scott Tucker | 1:50.99 | Leonardo Costa | 1:51.29 |
| 2003 | George Bovell | 1:48.90 | Dan Ketchum | 1:49.34 | Rodrigo Castro | 1:49.55 |
| 2007 | Matthew Owen | 1:48.78 | Shaune Fraser | 1:48.95 | Adam Sioui | 1:48.97 |
| 2011 | Brett Fraser | 1:47.18 | Shaune Fraser | 1:48.29 | Ben Hockin | 1:48.48 |
| 2015 | João de Lucca | 1.46.42 | Federico Grabich | 1:46.42 | Michael Weiss | 1:47.63 |
| 2019 | Fernando Scheffer | 1:46.68 | Breno Correia | 1:47.47 | Drew Kibler | 1:47.71 |
| 2023 | Coby Carrozza | 1:47.37 | Jorge Iga | 1:47.56 | Murilo Sartori | 1:47.95 |

### 400 m freestyle

| Games | Gold | Gold | Silver | Silver | Bronze | Bronze |
| 1951 | Tetsuo Okamoto | 4:52.4 | Bill Heusner | 4:54.5 | Tonatiuh Gutiérrez | 4:57.2 |
| 1955 | Jimmy McLane | 4:51.3 | Wayne Moore | 4:53.4 | Oscar Kramer | 4:56.1 |
| 1959 | George Breen | 4:31.4 | George Harrison | 4:31.8 | Gene Lenz | 4:34.9 |
| 1963 | Roy Saari | 4:19.3 | Don Schollander | 4:23.3 | Sandy Gilchrist | 4:29.1 |
| 1967 | Greg Charlton | 4:10.23 | Ralph Hutton | 4:11.88 | Michael Burton | 4:15.74 |
| 1971 | Jim McConica | 4:08.97 | Steve Genter | 4:13.05 | Ralph Hutton | 4:15.75 |
| 1975 | Doug Northway | 4:00.51 | Bobby Hackett | 4:03.38 | Djan Madruga | 4:06.83 |
| 1979 | Brian Goodell | 3:53.01 | Djan Madruga | 3:57.46 | Peter Szmidt | 3:58.34 |
| 1983 | Bruce Hayes | 3:53.17 | Matt Cetlinski | 3:53.51 | Marcelo Jucá | 3:55.66 |
| 1987 | Paul Robinson | 3:54.44 | Cristiano Michelena | 3:55.37 | Scott Brackett | 3:55.64 |
| 1991 | Sean Killion | 3:50.38 | Jorge Herrera | 3:54.91 | Eric Diehl | 3:58.06 |
| 1995 | Josh Davis | 3:55.59 | Luiz Lima | 3:56.33 | Jon Sakovich | 3:57.37 |
| 1999 | Luiz Lima | 3:52.25 | Austin Ramirez | 3:53.64 | Rick Say | 3:54.66 |
| 2003 | Ricardo Monasterio | 3:50.01 | Fran Crippen | 3:52.62 | Bruno Bonfim | 3:54.82 |
| 2007 | Matt Patton | 3:49.77 | Tobias Work | 3:50.62 | Armando Negreiros | 3:51.18 |
| 2011 | Charlie Houchin | 3:50.95 | Matt Patton | 3:51.25 | Cristian Quintero | 3:52.51 |
| 2015 | Ryan Cochrane | 3:48.29 | Ryan Feeley | 3:49.69 | Leonardo de Deus | 3:50.30 |
| 2019 | Andrew Abruzzo | 3:48.41 | Fernando Scheffer | 3:49.60 | Luiz Altamir Melo | 3:49.91 |
| 2023 | Guilherme Costa | 3:46.79 | Alfonso Mestre | 3:47.62 | James Plage | 3:50.74 |

### 800 m freestyle

| Games | Gold | Gold | Silver | Silver | Bronze | Bronze |
| 2019 | Andrew Abruzzo | 7:54.50 | Miguel Valente | 7:56.37 | Ricardo Vargas | 7:56.78 |
| 2023 | Guilherme Costa | 7:53.01 | Alfonso Mestre | 7:54.46 | Will Gallant | 7:58.96 |

### 1500 m freestyle

| Games | Gold | Gold | Silver | Silver | Bronze | Bronze |
| 1951 | Tetsuo Okamoto | 19:23.3 | Tonatiuh Gutiérrez | 19:24.5 | Efrén Fierro | 19:57.4 |
| 1955 | Jimmy McLane | 20:04.0 | Oscar Kramer | 20:09.9 | Gilberto Martínez | 20:37.2 |
| 1959 | Alan Somers | 17:53.2 | George Breen | 17:55.0 | Gary Heinrich | 18:30.6 |
| 1963 | Roy Saari | 17:26.2 | Sandy Gilchrist | 17:58.9 | Ralph Hutton | 18:08.6 |
| 1967 | Michael Burton | 16:44.40 | Ralph Hutton | 16:51.81 | Andy Strenk | 17:03.43 |
| 1971 | Pat Miles | 16:32.03 | Tom McBreen | 16:32.99 | Guillermo García | 16:45.56 |
| 1975 | Bobby Hackett | 15:53.10 | Paul Hartloff | 15:57.32 | Djan Madruga | 16:30.08 |
| 1979 | Brian Goodell | 15:24.36 | Djan Madruga | 15:41.74 | Bobby Hackett | 15:46.83 |
| 1983 | Jeff Kostoff | 15:30.67 | Marcelo Jucá | 15:33.01 | Carlos Scanavino | 15:36.07 |
| 1987 | Alex Kostich | 15:20.90 | Lars Jorgensen | 15:24.09 | Christopher Chalmers | 15:30.51 |
| 1991 | Alex Kostich | 15:21.36 | Jorge Herrera | 15:33.61 | Pedro Carrío | 15:39.73 |
| 1995 | Carlton Bruner | 15:13.90 | Luiz Lima | 15:19.53 | Ryan Cox | 15:37.28 |
| 1999 | Tim Siciliano | 15:14.94 | Luiz Lima | 15:21.92 | Ricardo Monasterio | 15:28.64 |
| 2003 | Ricardo Monasterio | 15:16.98 | Fran Crippen | 15:19.63 | Chris Thompson | 15:19.64 |
| 2007 | Charles Peterson | 15:12.33 | Ricardo Monasterio | 15:23.28 | Kier Maitland | 15:25.28 |
| 2011 | Arthur Frayler | 15:19.59 | Joseph Feely | 15:22.19 | Juan Pereyra | 15:26.20 |
| 2015 | Ryan Cochrane | 15:06.40 | Andrew Gemmell | 15:09.92 | Brandonn Almeida | 15:11.70 |
| 2019 | Guilherme Costa | 15:09.93 | Nicholas Sweetser | 15:14.24 | Ricardo Vargas | 15:14.99 |
| 2023 | Guilherme Costa | 15:09.23 | Will Gallant | 15:12.94 | Alfonso Mestre | 15:19.60 |

### 100 m backstroke

| Games | Gold | Gold | Silver | Silver | Bronze | Bronze |
| 1951 | Allen Stack | 1:08.0 | Pedro Galvão | 1:08.3 | Burwell Jones | 1:09.8 |
| 1955 | Frank McKinney | 1:07.1 | Pedro Galvão | 1:07.8 | Buddy Baarcke | 1:07.9 |
| 1959 | Frank McKinney | 1:03.6 | Chuck Bittick | 1:04.2 | Louis Schaeffer | 1:05.3 |
| 1963 | Ed Bartsch | 1:01.5 | Chuck Bittick | 1:02.1 | Athos de Oliveira | 1:03.2 |
| 1967 | Charlie Hickcox | 1:01.19 | Fred Haywood | 1:02.45 | Jim Shaw | 1:02.87 |
| 1971 | Melvin Nash | 59.84 | John Murphy | 1:00.84 | Bill Kennedy | 1:01.35 |
| 1975 | Peter Rocca | 58.31 | Bob Jackson | 58.90 | Rômulo Arantes | 59.16 |
| 1979 | Bob Jackson | 56.66 | Rômulo Arantes | 57.20 | Steve Pickell | 57.89 |
| 1983 | Rick Carey | 55.19 | Dave Bottom | 56.90 | Mike West | 57.20 |
| 1987 | Andy Gill | 56.56 | David Berkoff | 57.35 | Alejandro Alvizuri | 58.65 |
| 1991 | Andy Gill | 55.79 | Rodolfo Falcón | 56.12 | Bobby Brewer | 56.39 |
| 1995 | Jeff Rouse | 54.74 | Tripp Schwenk | 55.60 | Rodolfo Falcón | 56.13 |
| 1999 | Rodolfo Falcón | 54.93 | Alexandre Massura | 55.17 | Matt Allen | 55.86 |
| 2003 | Peter Marshall | 55.52 | George Bovell | 55.81 | Jayme Cramer | 55.88 |
| 2007 | Randall Bal | 53.66 | Peter Marshall | 54.64 | Thiago Pereira | 54.75 |
| 2011 | Thiago Pereira | 54.56 | Eugene Godsoe | 54.61 | Guilherme Guido | 54.81 |
| 2015 | Nick Thoman | 53.20 | Guilherme Guido | 53.35 | Eugene Godsoe | 53.96 |
| 2019 | Daniel Carr | 53.50 | Guilherme Guido | 53.54 | Dylan Carter | 54.41 |
| 2023 | Adam Chaney | 54.20 | Ulises Saravia | 54.23 | Blake Tierney | 54.25 |

### 200 m backstroke

| Games | Gold | Gold | Silver | Silver | Bronze | Bronze |
| 1967 | Ralph Hutton | 2:12.55 | Charlie Hickcox | 2:13.05 | Charles Goettsche | 2:15.94 |
| 1971 | Charlie Campbell | 2:07.09 | Tim McKee | 2:07.87 | John Hawes | 2:14.72 |
| 1975 | Dan Harrigan | 2:06.69 | Mike Scarth | 2:09.20 | Bob Jackson | 2:10.18 |
| 1979 | Peter Rocca | 2:00.98 | Jesse Vassallo | 2:02.07 | Djan Madruga | 2:04.74 |
| 1983 | Rick Carey | 1:59.34 | Ricardo Prado | 2:02.85 | Mike West | 2:03.11 |
| 1987 | Mike O'Brien | 2:02.29 | Ricardo Prado | 2:03.75 | Raymond Brown | 2:04.28 |
| 1991 | Rogério Romero | 2:01.07 | Dan Veatch | 2:01.14 | Manuel Guzmán | 2:01.68 |
| 1995 | Brad Bridgewater | 2:00.79 | Rodolfo Falcón | 2:00.98 | Rogério Romero | 2:01.13 |
| 1999 | Leonardo Costa | 1:59.33 | Aaron Peirsol | 1:59.77 | Dan Shevchik | 2:00.27 |
| 2003 | Rogério Romero | 1:59.92 | Luke Wagner | 2:00.74 | Joey Faltraco | 2:01.31 |
| 2007 | Thiago Pereira | 1:58.42 | Scott Clary | 1:59.24 | Lucas Salatta | 1:59.51 |
| 2011 | Thiago Pereira | 1:57.19 | Omar Pinzón | 1:58.31 | Ryan Murphy | 1:58.50 |
| 2015 | Sean Lehane | 1:57.47 | Carter Griffin | 1:58.18 | Leonardo de Deus | 1:58.27 |
| 2019 | Daniel Carr | 1:58.13 | Nick Alexander | 1:58.30 | Leonardo de Deus | 1:58.73 |
| 2023 | Jack Aikins | 1:56.58 | Ian Grum | 1:57.19 | Hugh McNeill | 1:59.96 |

### 100 m breaststroke

| Games | Gold | Gold | Silver | Silver | Bronze | Bronze |
| 1967 | José Fiolo | 1:07.52 | Russell Webb | 1:09.13 | Ken Merten | 1:09.32 |
| 1971 | Mark Chatfield | 1:06.75 | Brian Job | 1:07.93 | José Fiolo | 1:07.94 |
| 1975 | Rick Colella | 1:06.28 | Lawrence Dowler | 1:06.61 | José Fiolo | 1:08.12 |
| 1979 | Steve Lundquist | 1:03.82 | Greg Winchell | 1:04.76 | Graham Smith | 1:05.66 |
| 1983 | Steve Lundquist | 1:02.28 | John Moffet | 1:02.36 | Pablo Restrepo | 1:03.89 |
| 1987 | Rich Korhammer | 1:03.85 | David Lundberg | 1:04.11 | Darcy Wallingford | 1:04.55 |
| 1991 | Hans Dersch | 1:02.57 | Todd Torres | 1:02.83 | Jeff Commings | 1:03.02 |
| 1995 | Seth Van Neerden | 1:02.48 | Jonathan Cleveland | 1:03.17 | Tyler Mayfield | 1:03.17 |
| 1999 | Ed Moses | 1:00.99 | Jarrod Marrs Morgan Knabe | 1:02.11 | Not awarded | Not awarded |
| 2003 | Mark Gangloff | 1:00.95 | Jarrod Marrs | 1:01.71 | Eduardo Fischer | 1:01.88 |
| 2007 | Scott Dickens | 1:01.20 | Mark Gangloff | 1:01.24 | Mathieu Bois | 1:01.83 |
| 2011 | Felipe França Silva | 1:00.34 | Felipe Lima | 1:00.99 | Marcus Titus | 1:01.12 |
| 2015 | Felipe França Silva | 59.21 | Felipe Lima | 1:00.01 | Richard Funk | 1:00.19 |
| 2019 | João Gomes Júnior | 59.51 | Cody Miller | 59.57 | Kevin Cordes | 1:00.27 |
| 2023 | Jacob Foster | 59.99 | Noah Nichols | 1:00.43 | Miguel de Lara | 1:00.90 |

### 200 m breaststroke

| Games | Gold | Gold | Silver | Silver | Bronze | Bronze |
| 1951 | Héctor Domínguez | 2:43.8 | Willy Otto Jordan | 2:47.3 | Bowen Stassforth | 2:47.6 |
| 1955 | Héctor Domínguez | 2:46.9 | Manuel Sanguily | 2:47.3 | Walter Ocampo | 2:50.7 |
| 1959 | Bill Mulliken | 2:43.1 | Kenneth Nakasone | 2:43.2 | Manuel Sanguily | 2:44.3 |
| 1963 | Chet Jastremski | 2:35.4 | Ken Merten | 2:38.4 | John Kelso | 2:41.4 |
| 1967 | José Fiolo | 2:30.42 | Robert Momsen | 2:31.01 | Ken Merten | 2:34.17 |
| 1971 | Rick Colella | 2:27.12 | Felipe Muñoz | 2:27.22 | Brian Job | 2:28.11 |
| 1975 | Rick Colella | 2:24.00 | Dave Heinbuch | 2:28.96 | Gustavo Lozano | 2:29.28 |
| 1979 | Steve Lundquist | 2:21.97 | John Simmons | 2:22.45 | Pablo Restrepo | 2:23.13 |
| 1983 | Steve Lundquist | 2:19.31 | Pablo Restrepo | 2:20.21 | Doug Soltis | 2:20.89 |
| 1987 | Jeff Kubiak | 2:17.62 | Mike Barrowman | 2:19.29 | Darcy Wallingford | 2:22.01 |
| 1991 | Mario González | 2:15.50 | Nelson Diebel | 2:16.08 | Tyler Mayfield | 2:17.49 |
| 1995 | Seth Van Neerden | 2:16.08 | Eric Namesnik | 2:17.70 | Curtis Myden | 2:19.00 |
| 1999 | Morgan Knabe | 2:14.73 | Steven West | 2:16.26 | Mark Gangloff | 2:16.60 |
| 2003 | Kyle Salyards | 2:13.37 | Sean Quinn | 2:15.77 | Marcelo Tomazini | 2:15.87 |
| 2007 | Thiago Pereira | 2:13.51 | Henrique Barbosa | 2:13.83 | Scott Spann | 2:13.98 |
| 2011 | Sean Mahoney | 2:11.62 | Clark Burckle | 2:12.60 | Thiago Pereira | 2:13.58 |
| 2015 | Thiago Simon | 2:09.82 | Richard Funk | 2:11.51 | Thiago Pereira | 2:13.58 |
| 2019 | Will Licon | 2:07.62 | Nicolas Fink | 2:08.16 | Miguel de Lara | 2:1.23 |
| 2023 | Jacob Foster | 2:10.71 | Brayden Taivassalo | 2:10.89 | Andrés Bustamante | 2:11.99 |

### 100 m butterfly

| Games | Gold | Gold | Silver | Silver | Bronze | Bronze |
| 1967 | Mark Spitz | 56.20 | Ross Wales | 57.04 | Luis Nicolao | 58.63 |
| 1971 | Frank Heckl | 56.92 | Jerry Heidenreich | 57.30 | Byron MacDonald | 58.40 |
| 1975 | Mike Curington | 56.09 | Gregory Jagenburg | 56.13 | Bruce Robertson | 56.80 |
| 1979 | Robert Placak | 55.54 | Dan Thompson | 55.56 | Clay Evans | 56.63 |
| 1983 | Matt Gribble | 54.25 | Pablo Morales | 54.62 | Rafael Vidal | 54.72 |
| 1987 | Anthony Nesty | 53.89 | Wade King | 54.33 | Michael Dillon | 54.45 |
| 1991 | Anthony Nesty | 53.45 | Mike Merrell | 54.60 | Eduardo Piccinini | 55.00 |
| 1995 | Mark Henderson | 54.11 | Eduardo Piccinini | 54.63 | Brian Alderman | 54.75 |
| 1999 | Francisco Sánchez | 53.33 | Shamek Pietucha | 53.40 | José Martín Meolans | 54.03 |
| 2003 | Ben Michaelson | 53.04 | José Martín Meolans | 53.28 | Kaio de Almeida | 53.44 |
| 2007 | Kaio de Almeida | 52.05 | Gabriel Mangabeira | 52.43 | Albert Subirats | 52.78 |
| 2011 | Albert Subirats | 52.37 | Eugene Godsoe | 52.67 | Chris Brady | 52.95 |
| 2015 | Giles Smith | 52.04 | Santiago Grassi | 52.09 | Santo Condorelli | 52.42 |
| 2019 | Tom Shields | 51.59 | Luis Martínez | 51.63 | Vinicius Lanza | 51.88 |
| 2023 | Lukas Miller | 51.98 | Vinicius Lanza | 52.52 | Arsenio Bustos | 52.60 |

### 200 m butterfly

| Games | Gold | Gold | Silver | Silver | Bronze | Bronze |
| 1955 | Eulalio Ríos | 2:39.8 | Walter Ocampo | 2:40.3 | William Yorzyk | 2:42.5 |
| 1959 | Dave Gillanders | 2:18.0 | Mike Troy | 2:18.3 | Eulalio Ríos | 2:22.5 |
| 1963 | Carl Robie | 2:11.3 | Fred Schmidt | 2:13.3 | Luis Nicolao | 2:16.1 |
| 1967 | Mark Spitz | 2:06.42 | Tom Arusoo | 2:10.70 | Mike Burton | 2:13.26 |
| 1971 | Jorge Delgado | 2:06.41 | Rob Orr | 2:08.39 | Augusto González | 2:09.90 |
| 1975 | Gregory Jagenburg | 2:03.42 | Steve Gregg | 2:04.06 | Jorge Delgado | 2:05.11 |
| 1979 | Craig Beardsley | 2:00.49 | George Nagy | 2:02.15 | Bill Sawchuk | 2:02.93 |
| 1983 | Craig Beardsley | 1:58.85 | Ricardo Prado | 1:59.00 | Rafael Vidal | 1:59.17 |
| 1987 | Bill Stapleton | 2:00.70 | Jayme Taylor | 2:00.73 | Anthony Nesty | 2:01.09 |
| 1991 | Mark Dean | 2:00.11 | Anthony Nesty | 2:01.76 | Bart Pippenger | 2:02.00 |
| 1995 | Nelson Mora | 2:00.38 | Tom Malchow | 2:00.49 | André Teixeira | 2:01.95 |
| 1999 | Shamek Pietucha | 1:59.10 | Steven Brown | 1:59.52 | Devin Howard | 1:59.82 |
| 2003 | Michael Raab | 1:57.33 | Kaio de Almeida | 1:58.10 | Pedro Monteiro | 1:59.38 |
| 2007 | Kaio de Almeida | 1:55.45 | Eddie Erazo | 1:57.07 | Juan Veloz | 1:58.43 |
| 2011 | Leonardo de Deus | 1:57.92 | Daniel Madwed | 1:58.52 | Kaio de Almeida | 1:58.78 |
| 2015 | Leonardo de Deus | 1:55.01 | Zack Chetrat | 1:56.90 | Alec Page | 1:58.01 |
| 2019 | Leonardo de Deus | 1:55.86 | Samuel Pomajevich | 1:57.35 | Jonathan Gómez | 1:57.75 |
| 2023 | Mason Laur | 1:56.44 | Leonardo de Deus | 1:57.25 | Jack Dahlgren | 1:57.53 |

### 200 m individual medley

| Games | Gold | Gold | Silver | Silver | Bronze | Bronze |
| 1967 | Doug Russell | 2:13.22 | William Utley | 2:13.68 | Sandy Gilchrist | 2:16.61 |
| 1971 | Steve Furniss | 2:10.82 | Frank Heckl | 2:12.11 | Felipe Muñoz | 2:16.28 |
| 1975 | Steve Furniss | 2:09.77 | Mike Curington | 2:10.17 | Bill Sawchuk | 2:11.63 |
| 1979 | Jesse Vassallo | 2:03.29 | Graham Smith | 2:05.86 | Scott Spann | 2:11.63 |
| 1983 | Ricardo Prado | 2:04.51 | Bill Barrett | 2:04.90 | Steve Lundquist | 2:06.36 |
| 1987 | Bill Stapleton | 2:03.58 | Paul Wallace | 2:04.92 | Ricardo Prado | 2:04.94 |
| 1991 | Ron Karnaugh | 2:00.92 | Manuel Guzmán | 2:03.99 | Ray Looze | 2:04.29 |
| 1995 | Curtis Myden | 2:01.70 | Greg Burgess | 2:03.62 | Eric Namesnik | 2:03.70 |
| 1999 | Curtis Myden | 2:02.38 | Joe Montague | 2:03.08 | Owen Von Richter | 2:03.80 |
| 2003 | George Bovell | 1:59.49 | Thiago Pereira | 2:02.31 | Eric Donnelly | 2:02.52 |
| 2007 | Thiago Pereira | 1:57.79 | Robert Margalis | 2:00.69 | Bradley Ally | 2:00.96 |
| 2011 | Thiago Pereira | 1:58.07 | Conor Dwyer | 1:58.64 | Henrique Rodrigues | 2:03.41 |
| 2015 | Henrique Rodrigues | 1:57.06 | Thiago Pereira | 1:57.42 | Gunnar Bentz | 2:00.04 |
| 2019 | Will Licon | 1:59.13 | Caio Pumputis | 2:00.12 | Leonardo Coelho Santos | 2:00.29 |
| 2023 | Finlay Knox | 1:57.84 | Arsenio Bustos | 1:59.89 | Leonardo Coelho | 2:00.58 |

### 400 m individual medley

| Games | Gold | Gold | Silver | Silver | Bronze | Bronze |
| 1967 | William Utley | 4:48.12 | Ken Webb | 4:50.89 | Sandy Gilchrist | 4:55.60 |
| 1971 | Steve Furniss | 4:42.69 | Ricardo Marmolejo | 4:49.04 | Rick Colella | 4:49.30 |
| 1975 | Steve Furniss | 4:40.38 | Rick Colella | 4:40.91 | Ricardo Marmolejo | 4:43.87 |
| 1979 | Jesse Vassallo | 4:21.63 | Bill Sawchuk | 4:30.21 | Alex Baumann | 4:32.42 |
| 1983 | Ricardo Prado | 4:21.43 | Jeff Kostoff | 4:27.99 | Mike O'Brien | 4:30.45 |
| 1987 | Jerry Frentsos | 4:23.92 | Jeff Prior | 4:26.31 | Michael Meldrum | 4:29.63 |
| 1991 | Alex Kostich | 4:23.96 | Jody Braden | 4:26.25 | Jasen Pratt | 4:26.31 |
| 1995 | Curtis Myden | 4:18.55 | Eric Namesnik | 4:19.00 | Iain Mull | 4:26.32 |
| 1999 | Curtis Myden | 4:15.52 | Eric Donnelly | 4:17.86 | Owen Von Richter | 4:19.62 |
| 2003 | Robert Margalis | 4:19.09 | Eric Donnelly | 4:19.65 | Thiago Pereira | 4:19.89 |
| 2007 | Thiago Pereira | 4:11.14 | Robert Margalis | 4:17.52 | Keith Beavers | 4:19.01 |
| 2011 | Thiago Pereira | 4:16.68 | Conor Dwyer | 4:18.22 | Robert Margalis | 4:24.88 |
| 2015 | Brandonn Almeida | 4:14.47 | Luke Reilly | 4:16.16 | Max Williamson | 4:16.91 |
| 2019 | Charlie Swanson | 4:11.46 | Leonardo Coelho Santos | 4:19.41 | Brandonn Almeida | 4:21.10 |
| 2023 | Jay Litherland | 4:15.44 | Collyn Gagne | 4:17.05 | Brandonn Almeida | 4:18.74 |

### 4×100 m freestyle

| Games | Gold | Gold | Silver | Silver | Bronze | Bronze |
| 1967 | United States Ken Walsh Mike Fitzmaurice Mark Spitz Don Schollander | 3:34.08 | Canada Ralph Hutton Robert Kasting Sandy Gilchrist Ron Jacks | 3:40.82 | Argentina Mario de Lucca Carlos van der Maath Juan Carranza Luis Nicolao | 3:45.50 |
| 1971 | United States David Edgar Steve Genter Jerry Heidenreich Frank Heckl | 3:32.15 | Canada Timothy Bach Ian MacKenzie Brian Phillips Robert Kasting | 3:38.15 | Brazil Ruy de Oliveira Flávio Machado Paulo Zanetti José Aranha | 3:42.48 |
| 1975 | United States Jack Babashoff Alan Ruby Mike Grattan Richard Abbott | 3:27.67 | Canada Bruce Robertson Gary MacDonald Michael Bloahdal Steve Hardy | 3:36.24 | Mexico Guillermo García Eduardo Pérez Jorge Necochea Ricardo Sasser | 3:39.17 |
| 1979 | United States Rowdy Gaines Jack Babashoff John Newton David McCagg | 3:23.71 | Canada Graham Welbourn Alan Swanston Bill Sawchuk Peter Szmidt | 3:29.64 | Brazil Cyro Delgado Djan Madruga Marcus Mattioli Rômulo Arantes | 3:30.86 |
| 1983 | United States Robin Leamy Matt Gribble Chris Cavanaugh Rowdy Gaines | 3:21.41 | Brazil Ronald Menezes Jorge Fernandes Djan Madruga Cyro Delgado | 3:27.59 | Venezuela Jean François Antonio Sánchez Rafael Vidal Alberto Mestre | 3:29.06 |
| 1987 | United States Jim Born Scott McCadam Paul Robinson Todd Dudley | 3:19.97 | Canada Darren Ward Claude Lamy Brad Creelman Gary Vandermeulen | 3:26.09 | Brazil Jorge Fernandes Cristiano Michelena Cyro Delgado Júlio López | 3:27.11 |
| 1991 | Brazil Teófilo Ferreira Emanuel Nascimento Júlio López Gustavo Borges | 3:23.28 | Canada Reggie Lacoursiere Ronald Page Stephen Clarke Steven Vandermeulen | 3:25.39 | Puerto Rico David Monasterio Jorge Herrera Manuel Guzmán Ricardo Busquets | 3:27.17 |
| 1995 | United States Gary Hall Jr. Tom Jager Josh Davis Jon Olsen | 3:18.60 | Brazil Fernando Scherer Gustavo Borges Eduardo Piccinini Roberto Piovesan | 3:20.33 | Venezuela Diego Henao Alejandro Carrizo Michael Lilinthal Francisco Sánchez | 3:25.43 |
| 1999 | Brazil Fernando Scherer César Quintaes André Cordeiro Gustavo Borges | 3:17.18 | United States Scott Tucker Dan Phillips Jarod Schroeder Justin Ewers | 3:19.00 | Venezuela Luis Rojas Francisco Páez José Quevedo Francisco Sánchez | 3:22.21 |
| 2003 | Brazil Carlos Jayme Gustavo Borges Fernando Scherer Jader Souza | 3:18.66 | Venezuela Oswaldo Quevedo Raymond Rosal Luis Rojas Octavio Alesi | 3:23.14 | Canada Brian Edey Chad Murray Matt Rose Colin Russell | 3:23.83 |
| 2007 | Brazil Fernando Silva Eduardo Deboni Nicolas Oliveira César Cielo Thiago Pereira* Nicholas Santos* | 3:15.90 | United States Gabe Woodward Ricky Berens Dale Rogers Andy Grant Gary Hall Jr.* Alex Righi* | 3:16.66 | Venezuela Albert Subirats Octavio Alesi Luis Rojas Crox Acuña Jesus Casanova* Reymer Vezga* | 3:18.97 |
| 2011 | Brazil César Cielo Bruno Fratus Nicholas Santos Nicolas Oliveira Gabriel Mangabeira* Thiago Pereira* Henrique Rodrigues* | 3:14.65 | United States William Copeland Chris Brady Bobby Savulich Scot Robison Eugene Godsoe* Conor Dwyer* | 3:15.62 | Venezuela Octavio Alesi Crox Acuña Cristian Quintero Albert Subirats Luis Rojas Martinez* Roberto Goméz* Daniele Tirabassi* | 3:19.92 |
| 2015 | Brazil Matheus Santana João de Lucca Bruno Fratus Marcelo Chierighini Nicolas Oliveira* Thiago Pereira* | 3:13.66 | Canada Santo Condorelli Karl Krug Evan van Moerkerke Yuri Kisil Markus Thormeyer* Stefan Milošević* | 3:14.32 | United States Josh Schneider Darian Townsend Cullen Jones Michael Weiss Michael Klueh* Eugene Godsoe* | 3:16.21 |
| 2019 | Brazil Breno Correia Marcelo Chierighini Bruno Fratus Pedro Spajari | 3:12.61 | United States Michael Chadwick Drew Kibler Grant House Nathan Adrian | 3:14.94 | Mexico Gabriel Castaño Daniel Ramírez Jorge Iga Long Gutiérrez | 3:17.70 |
| 2023 | Brazil Guilherme Caribé Marcelo Chierighini Victor Alcará Felipe Ribeiro de Souza Breno Correia* | 3:13.51 | United States Jonny Kulow Adam Chaney Jack Aikins Brooks Curry Coby Carrozza* Lukas Miller* | 3:14.22 | Canada Javier Acevedo Édouard Fullum-Huot Stephen Calkins Finlay Knox Jeremy Bagshaw* Blake Tierney* | 3:15.83 |

### 4×200 m freestyle

| Games | Gold | Gold | Silver | Silver | Bronze | Bronze |
| 1951 | United States Ronald Gora Burwell Jones Dick Cleveland Bill Heusner | 9:00.6 | Brazil Ricardo Capanema Aram Boghossian João Gonçalves Filho Tetsuo Okamoto | 9:13.0 | Argentina Pedro Galvão Carlos Alberto Bonacich Jorge Vogt César Guardo | 9:19.5 |
| 1955 | United States Martin Smith William Yorzyk Wayne Moore Jimmy McLane | 9:00.0 | Argentina Pedro Galvão Federico Zwanck José Izaguirre Jorge Vogt | 9:09.0 | Canada George Park Allen Gilchrist Gerry McNamee Ted Simpson | 9:12.2 |
| 1959 | United States Dick Blick Peter Sintz John Rounsavelle Frank Winters | 8:22.7 | Mexico Raúl Guzmán Alfredo Guzmán Jorge Escalante Mauricio Ocampo | 8:56.4 | Canada Cam Grout Edward Cazalet William Campbell Thomas Verth | 9:00.4 |
| 1963 | United States Gary Ilman Richard McDonough David Lyons Ed Townsend | 8:16.9 | Canada Ralph Hutton Aldwin Meinhardt Ed Casalet Sandy Gilchrist | 8:33.0 | Brazil Athos de Oliveira Antonio Renzo Filho Antonio Celso Guimarães Peter Wolfgang Metzner | 8:41.4 |
| 1967 | United States Don Schollander Charlie Hickcox Greg Charlton Mark Spitz | 8:00.46 | Canada Sandy Gilchrist Ron Jacks Robert Kasting Ralph Hutton | 8:07.16 | Argentina Héctor Scerbo Mario de Lucca Carlos van der Maath Luis Nicolao | 8:19.48 |
| 1971 | United States Jerry Heidenreich Jim McConica Steve Genter Frank Heckl | 7:45.82 | Canada Robert Kasting Ron Jacks Brian Phillips Ralph Hutton | 8:04.76 | Brazil Alfredo Machado Ruy de Oliveira José Aranha Flávio Machado | 8:08.42 |
| 1975 | United States Rick DeMont Rex Favero Brad Horner Michael Curington | 7:50.96 | Canada Steve Hardy Michael Bloahdal Daryl Skilling Bruce Robertson | 8:00.91 | Brazil Djan Madruga José Namorado Paul Jouanneau Rômulo Arantes | 8:02.36 |
| 1979 | United States Brian Goodell David Larson Kris Kirchner Rowdy Gaines | 7:31.28 | Brazil Cyro Delgado Djan Madruga Jorge Fernandes Marcus Mattioli | 7:38.92 | Canada Peter Szmidt Graham Welbourn Rob Bayliss Bill Sawchuk | 7:29.27 |
| 1983 | United States David Larson Richard Saeger Bruce Hayes Rowdy Gaines | 7:23.63 | Brazil Djan Madruga Marcelo Jucá Cyro Delgado Jorge Fernandes | 7:32.78 | Venezuela Jean François Antonio Sánchez Rafael Vidal Alberto Mestre | 7:33.82 |
| 1987 | United States Paul Robinson Brian Jones Mike O'Brien John Witchel | 7:23.29 | Canada Darren Ward Christopher Chalmers Gary Vandermeulen Mike Meldrum | 7:29.84 | Brazil Jorge Fernandes Cristiano Michelena Cyro Delgado Júlio López | 7:29.90 |
| 1991 | United States John Keppeler Jim Wells Clay Tippins Eric Diehl | 7:23.39 | Brazil Teófilo Ferreira Emanuel Nascimento Cassiano Leal Gustavo Borges | 7:28.83 | Puerto Rico David Monasterio Jorge Herrera Manuel Guzmán Ricardo Busquets | 7:29.96 |
| 1995 | United States Jon Olsen Josh Davis Ryan Berube Greg Burgess | 7:21.61 | Brazil Fernando Scherer Gustavo Borges Cassiano Leal Teófilo Ferreira | 7:28.70 | Mexico Oscar Sotelo Nelson Vargas José Castellanos Jorge Anaya | 7:39.56 |
| 1999 | United States Adam Messner Dan Phillips Devin Howard Scott Tucker | 7:22.29 | Brazil Leonardo Costa Rodrigo Castro André Cordeiro Gustavo Borges | 7:22.92 | Canada Mark Johnston Brian Johns Yannick Lupien Rick Say | 7:23.02 |
| 2003 | United States Dan Ketchum Jeff Lee Ryan Lochte Bryan Goldberg | 7:18.93 | Brazil Carlos Jayme Rafael Mosca Gustavo Borges Rodrigo Castro | 7:25.17 | Canada Scott Dickens Brian Edey Tobias Oriwol Colin Russell | 7:27.18 |
| 2007 | Brazil Thiago Pereira Rodrigo Castro Lucas Salatta Nicolas Oliveira | 7:12.27 | United States Ricky Berens Matthew Owen Andy Grant Robert Margalis | 7:15.00 | Canada Chad Hankewich Stefan Hirniak Pascal Wollach Adam Sioui | 7:17.73 |
| 2011 | United States Conor Dwyer Scot Robison Charlie Houchin Matt Patton Daniel Madwed* Ryan Feeley* Rex Tullius* Robert Margalis* | 7:15.07 | Brazil André Schultz Nicolas Oliveira Leonardo de Deus Thiago Pereira Giuliano Rocco* Lucas Kanieski* Diogo Yabe* | 7:21.96 | Venezuela Daniele Tirabassi Cristian Quintero Crox Acuña Marcos Lavado Eddy Marin* Ricardo Monasterio* Alejandro Gomez* | 7:23.41 |
| 2015 | Brazil Luiz Altamir Melo João de Lucca Thiago Pereira Nicolas Oliveira Henrique Rodrigues* Kaio de Almeida* Thiago Simon* | 7:11.15 | United States Michael Weiss Michael Klueh Gunnar Bentz Darian Townsend Ryan Feeley* Bobby Bollier* | 7:12.20 | Canada Jeremy Bagshaw Alec Page Stefan Milošević Ryan Cochrane Yuri Kisil* Coleman Allen* | 7:17.33 |
| 2019 | Brazil Luiz Altamir Melo Fernando Scheffer João de Lucca Breno Correia | 7:10.66 | United States Drew Kibler Grant House Samuel Pomajevich Christopher Wieser | 7:14.82 | Mexico Jorge Iga Long Gutiérrez José Martínez Ricardo Vargas | 7:19.43 |
| 2023 | Brazil Murilo Sartori Breno Correia Fernando Scheffer Guilherme Costa Luiz Altamir Melo* Leonardo Coelho* Felipe Ribeiro de Souza* | 7:07.53 | United States Zane Grothe Coby Carrozza Brooks Curry Jack Dahlgren James Plage* Mason Laur* Lukas Miller* Christopher O'Connor* | 7:08.06 | Canada Jeremy Bagshaw Finlay Knox Alex Axon Javier Acevedo Yu Tong Wu* Blake Tierney* Raben Dommann* | 7:14.76 |

### 4×100 m medley

| Games | Gold | Gold | Silver | Silver | Bronze | Bronze |
| 1951 | United States* Allen Stack Bowen Stassforth Dick Cleveland | 3:16.9 | Argentina* Pedro Galvão Orlando Cossani César Guardo | 3:20.7 | Mexico* Alberto Isaac Clemente Mejía Luis Spamer | 3:22.5 |
| 1955 | United States Frank McKinney Fred Maguire Leonide Baarcke Clarke Scholes | 4:29.1 | Argentina Pedro Galvão Héctor Domínguez Orlando Cossani Federico Zwanck | 4:33.4 | Mexico Clemente Mejía Walter Ocampo Eulalio Ríos Alemán Otilio Olguín | 4:35.5 |
| 1959 | United States Frank McKinney Kenneth Nakasone Mike Troy Jeff Farrell | 4:14.9 | Canada Cam Grout Bob Wheaton Steve Rabinovitch Peter Fowler | 4:23.3 | Mexico Eulalio Ríos Alemán Alejandro Gaxiola Jorge Escalante Roberto Marmolejo | 4:35.5 |
| 1963 | United States Richard McGeagh Bill Craig Walter Richardson Nicholas Kirby | 4:05.6 | Argentina Carlos van der Maath Alberto Pérez Luis Nicolao Abel Pepe | 4:17.3 | Canada Ed Casalet John Kelso Daniel Sherry Sandy Gilchrist | 4:25.0 |
| 1967 | United States Doug Russell Russell Webb Mark Spitz Ken Walsh | 3:59.31 | Canada Bill Mahony Sandy Gilchrist Ron Jacks Jim Shaw | 4:04.29 | Brazil Ilson Asturiano João Costa Lima Neto José Sylvio Fiolo Waldyr Ramos | 4:17.5 |
| 1971 | United States John Murphy Brian Job Jerry Heidenreich Frank Heckl | 3:56.08 | Canada John Hawes Bill Mahony Byron MacDonald Robert Kasting | 4:00.53 | Brazil César Lourenço José Fiolo Flávio Machado José Aranha | 4:06.64 |
| 1975 | United States Peter Rocca Rick Colella Michael Curington Jack Babashoff | 3:53.81 | Canada Mike Scarth Camil Chevalier Bruce Robertson Gary MacDonald | 3:58.95 | Brazil Akcel de Godoy José Namorado Rômulo Arantes José Fiolo | 3:59.05 |
| 1979 | United States Bob Jackson Steve Lundquist Bob Placak David McCagg | 3:47.40 | Canada Steve Pickell Graham Smith Dan Thompson Bill Sawchuk | 3:50.02 | Puerto Rico Carlos Berrocal Orlando Catinchi Arnaldo Pérez Fernando Cañales | 3:54.63 |
| 1983 | United States Rick Carey Steve Lundquist Matt Gribble Rowdy Gaines | 3:40.42 | Canada Mike West Marco Veilleux Tom Ponting David Churchill | 3:48.10 | Venezuela Giovanni Frigo Glen Sochasky Rafael Vidal Alberto Mestre | 3:50.52 |
| 1987 | United States Andrew Gill Richard Korhammer Wade King Todd Dudley | 3:43.65 | Canada Ray Brown Darcy Wallingford Darren Ward Claude Lamy | 3:49.77 | Brazil Jorge Fernandes Otavio Silva Cícero Tortelli Ricardo Prado | 3:50.29 |
| 1991 | United States Andrew Gill Hans Dersch Mike Merrell Joel Thomas | 3:42.84 | Puerto Rico David Monasterio Jorge Herrera Todd Torres Ricardo Busquets | 3:45.78 | Cuba Rodolfo Falcón Mario González José Ulises Hernández René Sáez | 3:45.96 |
| 1995 | United States Jeff Rouse Seth Van Neerden Mark Henderson Jon Olsen | 3:41.24 | Brazil Rogério Romero Oscar Godoi Eduardo Piccinini Gustavo Borges | 3:43.93 | Canada Chris Renaud Jonathan Cleveland Edward Parenti Curtis Myden | 3:45.10 |
| 1999 | Brazil Alexandre Massura Marcelo Tomazini Fernando Scherer Gustavo Borges | 3:40.27 | United States Matt Allen Ed Moses Jarod Schroeder Scott Tucker | 3:40.57 | Canada Mark Versfeld Morgan Knabe Shamek Pietucha Yannick Lupien | 3:41.04 |
| 2003 | United States Peter Marshall Mark Gangloff Ben Michaelson Nick Brunelli | 3:37.27 | Brazil Paulo Machado Eduardo Fischer Kaio de Almeida Gustavo Borges | 3:40.02 | Canada Sean Sepulis Scott Dickens Chad Murray Matt Rose | 3:40.12 |
| 2007 | United States Randall Bal Mark Gangloff Ricky Berens Andy Grant Peter Marshall* Christian Schurr Voight* Pat O'Neil* Alex Righi* | 3:34.37 | Brazil Thiago Pereira Henrique Barbosa Kaio de Almeida César Cielo Lucas Salatta* Felipe Lima* Gabriel Mangabeira* Eduardo Deboni* | 3:35.81 | Canada Matthew Hawes Scott Dickens Joe Bartoch Adam Sioui Mathieu Bois* Chad Hankewich* | 3:38.16 |
| 2011 | Brazil Guilherme Guido Felipe França Silva Gabriel Mangabeira César Cielo Thiago Pereira* Felipe Lima* Kaio de Almeida* Bruno Fratus* | 3:34.58 | United States Eugene Godsoe Marcus Titus Chris Brady Scot Robison David Russell* Kevin Swander* Bobby Savulich* | 3:37.17 | Argentina Federico Grabich Lucas Peralta Marcos Barale Lucas Del Piccolo | 3:44.51 |
| 2015 | Brazil Guilherme Guido Felipe França Silva Arthur Mendes Marcelo Chierighini Thiago Pereira* Felipe Lima* | 3:32.68 | United States Nick Thoman Brad Craig Gilles Smith Josh Schneider Eugene Godsoe* Michael Weiss* | 3:33.63 | Canada Russell Wood Richard Funk Santo Condorelli Yuri Kisil James Dergousoff* Coleman Allen* | 3:34.40 |
| 2019 | United States Daniel Carr Nicolas Fink Tom Shields Nathan Adrian Nick Alexander* Matthew Josa* Michael Chadwick* | 3:30.25 | Brazil Guilherme Guido João Gomes Júnior Vinicius Lanza Marcelo Chierighini Leonardo de Deus* Felipe Lima* Luiz Altamir Melo* Breno Correia* | 3:30.98 | Argentina Agustin Hernandez Gabriel Morelli Santiago Grassi Federico Grabich Nicolas Deferrari* Guido Buscaglia* | 3:38.41 |
| 2023 | United States Jack Aikins Jacob Foster Lukas Miller Jonny Kulow Christopher O'Connor* Noah Nichols* Jack Dahlgren* Coby Carrozza* | 3:33.29 | Brazil Guilherme Basseto João Gomes Júnior Vinicius Lanza Guilherme Caribé Gabriel Fantoni* Raphael Windmuller* Victor Baganha* Victor Alcará* | 3:35.12 | Canada Blake Tierney Gabe Mastromatteo Finlay Knox Javier Acevedo Raben Dommann* Brayden Taivassalo* Keir Ogilvie* Édouard Fullum-Huot* | 3:35.72 |
* The 1951 event was not a 4 × 100 m but a 3×100m medley relay

### 10 km marathon

| Games | Gold | Gold | Silver | Silver | Bronze | Bronze |
| 2007 | Fran Crippen | 2:02:24.1 | Chip Peterson | 2:02:29.2 | Allan do Carmo | 2:03:53.7 |
| 2011 | Richard Weinberger | 1:57:31.0 | Arthur Frayler | 1:57:31.3 | Guillermo Bertola | 1:57:33.9 |
| 2015 | Chip Peterson | 1:54:03.6 | David Heron | 1:54:07.4 | Esteban Enderica | 1:54:09.2 |
| 2019 | Esteban Enderica | 1:53:46.7 | Taylor Abbott | 1:54:02.7 | Victor Colonese | 1:54:03.6 |
| 2023 | Brennan Gravley | 1:50:23.4 | Franco Cassini | 1:50:23.6 | Paulo Strehlke | 1:50:23.8 |

## Women's events
### 50 m freestyle

| Games | Gold | Gold | Silver | Silver | Bronze | Bronze |
| 1987 | Jenny Thompson | 26.09 | Silvia Poll | 26.32 | Jeanne Doolan | 26.34 |
| 1991 | Kristin Topham | 26.01 | Heather Hageman | 26.26 | Allison Bock | 26.45 |
| 1995 | Angel Martino | 25.40 | Shannon Shakespeare | 26.19 | Andrea Moody | 26.54 |
| 1999 | Tammie Spatz | 25.50 | Eileen Coparropa | 25.78 | Laura Nicholls | 26.10 |
| 2003 | Kara Lynn Joyce | 25.24 | Flávia Delaroli | 25.44 | Eileen Coparropa | 25.62 |
| 2007 | Arlene Semeco | 25.14 | Vanessa García | 25.22 | Flávia Delaroli | 25.46 |
| 2011 | Lara Jackson | 25.09 | Graciele Herrmann | 25.23 | Madison Kennedy | 25.24 |
| 2015 | Arianna Vanderpool-Wallace | 24.38 | Etiene Medeiros | 24.55 | Natalie Coughlin | 24.66 |
| 2019 | Etiene Medeiros | 24.88 | Margo Geer | 25.03 | Madison Kennedy | 25.14 |
| 2023 | Maggie Mac Neil Gabriela Albiero | 24.84 | Not awarded | Not awarded | Catie Deloof | 24.88 |

### 100 m freestyle

| Games | Gold | Gold | Silver | Silver | Bronze | Bronze |
| 1951 | Sharon Geary | 1:08:4 | Jackie LaVine | 1:09.9 | Ana María Schultz | 1:10.7 |
| 1955 | Helen Stewart | 1:07.7 | Wanda Werner | 1:07.7 | Virginia Grant | 1:08.3 |
| 1959 | Chris von Saltza | 1:03.8 | Molly Botkin | 1:05.7 | Joan Spillane | 1:05.8 |
| 1963 | Terri Stickles | 1:02.8 | Mary Stewart | 1:03.3 | Kathy Ellis | 1:03.5 |
| 1967 | Erika Bricker | 1:00.89 | Marion Lay | 1:01.02 | Lillian Watson | 1:01.54 |
| 1971 | Sandy Neilson | 1:00.60 | Angela Coughlan | 1:01.15 | Karen James | 1:01.88 |
| 1975 | Kim Peyton | 58.24 | Jill Sterkel | 58.57 | Jill Quirk | 58.92 |
| 1979 | Cynthia Woodhead | 56.22 | Jill Sterkel | 56.24 | Gail Amundrud | 57.79 |
| 1983 | Carrie Steinseifer | 56.92 | Jane Kerr | 57.51 | Kathy Bald | 57.76 |
| 1987 | Silvia Poll | 56.39 | Sara Linke | 57.30 | Jenny Thompson | 57.46 |
| 1991 | Ashley Tappin | 56.51 | Megan Oesting | 57.14 | Kristin Topham | 57.63 |
| 1995 | Angel Martino | 55.62 | Amy Van Dyken | 55.92 | Marianne Limpert | 56.80 |
| 1999 | Laura Nicholls | 56.25 | Tammie Spatz | 56.44 | Marianne Limpert | 56.69 |
| 2003 | Courtney Shealy | 55.61 | Christina Swindle Florencia Szigeti | 55.92 | Not awarded | Not awarded |
| 2007 | Arlene Semeco | 55.17 | Flávia Delaroli | 55.78 | Vanessa García | 55.84 |
| 2011 | Amanda Kendall | 54.75 | Erika Erndl | 55.04 | Arlene Semeco | 55.43 |
| 2015 | Chantal Van Landeghem | 54.83 | Natalie Coughlin | 54.06 | Arianna Vanderpool-Wallace | 54.15 |
| 2019 | Margo Geer | 54.17 | Alexia Zevnik | 55.04 | Larissa Oliveira | 55.25 |
| 2023 | Maggie Mac Neil | 53.64 | Stephanie Balduccini | 54.13 | Catie DeLoof | 54.50 |

### 200 m freestyle

| Games | Gold | Gold | Silver | Silver | Bronze | Bronze |
| 1951 | Ana María Schultz | 2:32.4 | Betty Brey | 2:33.3 | Eileen Holt | 2:36.5 |
| 1955 | Wanda Werner | 2:32.5 | Liliana Gonzalias | 2:32.9 | Gilda Aranda | 2:33.6 |
| 1959 | Chris von Saltza | 2:18.5 | Shirley Stobs | 2:22.9 | Joan Spillane | 2:23.0 |
| 1963 | Robyn Johnson | 2:17.5 | Terri Stickles | 2:18.4 | Lynne Pomfret | 2:28.4 |
| 1967 | Pam Kruse | 2:11.91 | Marion Lay | 2:14.68 | Angela Coughlan | 2:15.66 |
| 1971 | Kim Peyton | 2:09.62 | Angela Coughlan | 2:10.56 | Olga de Angulo | 2:14.34 |
| 1975 | Kim Peyton | 2:04.57 | Gail Amundrud | 2:05.87 | Anne Jardin | 2:07.68 |
| 1979 | Cynthia Woodhead | 1:58.43 | Kim Linehan | 2:01.92 | Gail Amundrud | 2:03.38 |
| 1983 | Cynthia Woodhead | 2:01.33 | Mary Wayte | 2:02.21 | Julie Daigneault | 2:02.36 |
| 1987 | Silvia Poll | 2:00.02 | Whitney Hedgepeth | 2:02.06 | Sara Linke | 2:04.00 |
| 1991 | Lisa Jacob | 2:02.06 | Barbara Metz | 2:02.92 | Kim Paton | 2:04.73 |
| 1995 | Cristina Teuscher | 2:01.49 | Marianne Limpert | 2:02.05 | Dady Vincent | 2:03.37 |
| 1999 | Jessica Deglau | 2:00.65 | Janelle Atkinson | 2:01.11 | Talor Bendel | 2:03.18 |
| 2003 | Dana Vollmer | 1:59.80 | Colleen Lanne | 2:01.98 | Mariana Brochado | 2:02.08 |
| 2007 | Ava Ohlgren | 2:00.03 | Stephanie Horner | 2:00.29 | Monique Ferreira | 2:01.38 |
| 2011 | Catherine Breed | 2:00.08 | Chelsea Nauta | 2:00.62 | Andreina Pinto | 2:00.79 |
| 2015 | Allison Schmitt | 1:56.23 | Emily Overholt | 1:57.55 | Manuella Lyrio | 1:58.03 |
| 2019 | Claire Rasmus | 1:58.64 | Meghan Raab | 1:58.70 | Larissa Oliveira | 1:59.78 |
| 2023 | Mary-Sophie Harvey | 1:58.08 | Maria Fernanda Costa | 1:58.12 | Camille Spink | 1:58.61 |

### 400 m freestyle

| Games | Gold | Gold | Silver | Silver | Bronze | Bronze |
| 1951 | Ana María Schultz | 5:26.7 | Carolyn Green | 5:33.1 | Piedade Coutinho | 5:33.6 |
| 1955 | Beth Whittall | 5:32.4 | Carolyn Green | 5:34.7 | Carol Tait | 5:34.9 |
| 1959 | Chris von Saltza | 4:55.9 | Sylvia Ruuska | 5:03.4 | Donna Graham | 5:03.5 |
| 1963 | Sharon Finneran | 4:52.7 | Robyn Johnson | 4:56.1 | Lynne Pomfret | 5:20.4 |
| 1967 | Debbie Meyer | 4:32.64 | Pam Kruse | 4:42.81 | Angela Coughlan | 4:48.88 |
| 1971 | Ann Simmons | 4:26.19 | Jill Strong | 4:36.15 | Angela Coughlan | 4:38.86 |
| 1975 | Kathy Heddy | 4:23.00 | Kathie Wickstrand | 4:27.66 | Michele Oliver | 4:30.20 |
| 1979 | Cynthia Woodhead | 4:10.56 | Tracy Caulkins | 4:16.13 | Wendy Quirk | 4:17.34 |
| 1983 | Tiffany Cohen | 4:12.27 | Cynthia Woodhead | 4:14.07 | Julie Daigneault | 4:19.91 |
| 1987 | Julie Martin | 4:11.87 | Barbara Metz | 4:13.25 | Megan Holliday | 4:20.78 |
| 1991 | Jane Skillman | 4:13.69 | Barbara Metz | 4:16.90 | Tara-Lynn Seymour | 4:22.15 |
| 1995 | Brooke Bennett | 4:11.78 | Cristina Teuscher | 4:13.97 | Katie Brambley | 4:18.74 |
| 1999 | Kaitlin Sandeno | 4:10.74 | Janelle Atkinson | 4:10.83 | Joanne Malar | 4:12.64 |
| 2003 | Elizabeth Hill | 4:10.18 | Morgan Hentzen | 4:13.03 | Monique Ferreira | 4:14.21 |
| 2007 | Jessica Rodriquez | 4:12.22 | Patricia Castañeda | 4:13.34 | Corinne Showalter | 4:13.72 |
| 2011 | Gillian Ryan | 4:11.58 | Andreina Pinto | 4:11.81 | Kristel Köbrich | 4:13.31 |
| 2015 | Emily Overholt | 4:08.42 | Andreina Pinto | 4:08.67 | Gillian Ryan | 4:09.46 |
| 2019 | Delfina Pignatiello | 4:10.86 | Danica Ludlow | 4:11.97 | Alyson Ackman | 4:12.05 |
| 2023 | Paige Madden | 4:06.45 | Maria Fernanda Costa | 4:06.68 | Gabrielle Roncatto | 4:06.88 |

### 800 m freestyle

| Games | Gold | Gold | Silver | Silver | Bronze | Bronze |
| 1967 | Debbie Meyer | 9:22.86 | Susan Pedersen | 9:38.37 | Angela Coughlan | 9:48.56 |
| 1971 | Cathy Calhoun | 9:15.19 | Cynthia Enze | 9:32.15 | Maria Teresa Ramírez | 9:44.32 |
| 1975 | Wendy Weinberg | 9:05.57 | Mary Montgomery | 9:06.70 | Janice Stenhouse | 9:17.87 |
| 1979 | Kim Linehan | 8:39.82 | Jennifer Hooker | 8:50.71 | Barbara Shockey | 8:54.82 |
| 1983 | Tiffany Cohen | 8:35.42 | Marybeth Linzmeier | 8:41.26 | Julie Daigneault | 8:59.52 |
| 1987 | Tami Bruce | 8:34.72 | Deborah Babashoff | 8:42.77 | Megan Holliday | 8:52.60 |
| 1991 | Jane Skillman | 8:43.26 | Lisa Jacob | 8:51.36 | Tara-Lynn Seymour | 8:52.33 |
| 1995 | Trina Jackson | 8:35.42 | Brooke Bennett | 8:47.99 | Alicia Barrancos | 8:49.57 |
| 1999 | Kaitlin Sandeno | 8:34.65 | Janelle Atkinson | 8:39.51 | Lindsay Beavers | 8:44.21 |
| 2003 | Morgan Hentzen | 8:36.54 | Rachael Burke | 8:37.61 | Kristel Köbrich | 8:43.90 |
| 2007 | Caroline Burckle | 8:35.10 | Patricia Castañeda | 8:38.92 | Savannah King | 8:39.36 |
| 2011 | Kristel Köbrich | 8:34.71 | Ashley Twichell | 8:38.38 | Andreina Pinto | 8:44.55 |
| 2015 | Sierra Schmidt | 8:27.54 | Kristel Köbrich | 8:29.79 | Andreina Pinto | 8:31.08 |
| 2019 | Delfina Pignatiello | 8:29.42 | Mariah Denigan | 8:34.18 | Viviane Jungblut | 8:36.04 |
| 2023 | Paige Madden | 8:27.99 | Rachel Stege | 8:28.50 | Viviane Jungblut | 8:33.55 |

### 1500 m freestyle

| Games | Gold | Gold | Silver | Silver | Bronze | Bronze |
| 2019 | Delfina Pignatiello | 16:16.54 | Kristel Köbrich | 16:18.19 | Rebecca Mann | 16:23.23 |
| 2023 | Rachel Stege | 16:13.59 | Kristel Köbrich | 16:14.59 | Viviane Jungblut | 16:19.89 |

### 100 m backstroke

| Games | Gold | Gold | Silver | Silver | Bronze | Bronze |
| 1951 | Maureen O'Brien | 1:18.5 | Sheila Donahue | 1:20.5 | Magda Bruggemann | 1:21.4 |
| 1955 | Leonore Fisher | 1:16.7 | Coralie O'Connor | 1:17.8 | Cynthia Gill | 1:17.9 |
| 1959 | Carin Cone | 1:12.2 | Sara Barber | 1:12.3 | Christine Kluter | 1:12.4 |
| 1963 | Nina Harmer | 1:11.5 | Cathy Ferguson | 1:13.1 | Eileen Weir | 1:14.5 |
| 1967 | Elaine Tanner | 1:07.32 | Kaye Hall | 1:09.76 | Shirley Cazalet | 1:11.33 |
| 1971 | Donna Gurr | 1:07.18 | Susie Atwood | 1:07.51 | Jill Hlay | 1:08.49 |
| 1975 | Lynn Chénard | 1:06.59 | Rosemary Boone | 1:07.18 | Jenny Kemp | 1:07.29 |
| 1979 | Linda Jezek | 1:03.33 | Cheryl Gibson | 1:05.17 | Teresa Rivera | 1:06.87 |
| 1983 | Susan Walsh | 1:02.48 | Joan Pennington | 1:03.63 | Barbara McBain | 1:05.38 |
| 1987 | Silvia Poll | 1:02.18 | Holly Green | 1:03.15 | Michelle Donahue | 1:03.30 |
| 1991 | Silvia Poll | 1:03.15 | Nikki Dryden | 1:03.64 | Jodi Wilson | 1:03.78 |
| 1995 | Barbara Bedford | 1:01.71 | Kristy Heydanek | 1:03.10 | Fabíola Molina | 1:04.85 |
| 1999 | Kelly Stefanyshyn | 1:02.14 | Denali Knapp | 1:02.45 | Beth Botsford | 1:02.48 |
| 2003 | Diana MacManus | 1:02.50 | Courtney Shealy | 1:02.74 | Gisela Morales | 1:04.56 |
| 2007 | Julia Smit | 1:02.01 | Fabíola Molina | 1:02.18 | Elizabeth Wycliffe | 1:02.46 |
| 2011 | Rachel Bootsma | 1:00.37 | Elizabeth Pelton | 1:01.12 | Fernanda González | 1:02.00 |
| 2015 | Etiene Medeiros | 59.61 | Olivia Smoliga | 1:00.06 | Clara Smiddy | 1:00.49 |
| 2019 | Phoebe Bacon | 59.47 | Danielle Hanus | 1:00.34 | Etiene Medeiros | 1:00.67 |
| 2023 | Josephine Fuller | 59.67 | Kennedy Noble | 59.84 | Danielle Hanus | 1:01.49 |

### 200 m backstroke

| Games | Gold | Gold | Silver | Silver | Bronze | Bronze |
| 1967 | Elaine Tanner | 2:24.55 | Kendis Moore | 2:30.38 | Cathy Ferguson | 2:32.48 |
| 1971 | Donna Gurr | 2:24.73 | Susie Atwood | 2:26.48 | Barbara Darby | 2:30.73 |
| 1975 | Donna Lee Wennerstrom | 2:19.93 | Lynn Chénard | 2:21.26 | Cheryl Gibson | 2:22.68 |
| 1979 | Linda Jezek | 2:16.07 | Cheryl Gibson | 2:17.58 | Libby Kinkead | 2:20.19 |
| 1983 | Amy White | 2:15.66 | Susan Walsh | 2:15.94 | Barbara McBain | 2:18.93 |
| 1987 | Katie Welch | 2:13.65 | Silvia Poll | 2:14.18 | Holly Green | 2:14.75 |
| 1991 | Diana Trimble | 2:15.80 | Nikki Dryden | 2:16.13 | Joanne Malar | 2:16.36 |
| 1995 | Barbara Bedford | 2:12.98 | Rachel Joseph | 2:14.74 | Joanne Malar | 2:16.67 |
| 1999 | Denali Knapp | 2:12.48 | Beth Botsford | 2:12.95 | Kelly Stefanyshyn | 2:13.24 |
| 2003 | Jamie Reid | 2:13.89 | Diana MacManus | 2:15.39 | Gisela Morales | 2:16.19 |
| 2007 | Teresa Crippen | 2:10.57 | Julia Smit | 2:11.18 | Elizabeth Wycliffe | 2:13.29 |
| 2011 | Elizabeth Pelton | 2:08.99 | Bonnie Brandon | 2:12.57 | Fernanda González | 2:13.56 |
| 2015 | Hilary Caldwell | 2.08.22 | Dominique Bouchard | 2:09.74 | Clara Smiddy | 2:11.47 |
| 2019 | Alexandra Walsh | 2:08.30 | Isabelle Stadden | 2:08.39 | Mackenzie Glover | 2:10.95 |
| 2023 | Kennedy Noble | 2:08.03 | Reilly Tiltmann | 2:12.79 | Alexia Assunção | 2:13.31 |

### 100 m breaststroke

| Games | Gold | Gold | Silver | Silver | Bronze | Bronze |
| 1967 | Catie Ball | 1:14.80 | Ana María Norbis | 1:15.95 | Cynthia Goyette | 1:19.39 |
| 1971 | Sylvia Dockerill | 1:18.63 | Linda Kurtz | 1:19.30 | Lynn Colella | 1:19.72 |
| 1975 | Lauri Siering | 1:15.17 | Marcia Morey | 1:16.25 | Marian Stuart | 1:16.40 |
| 1979 | Tami Paumier | 1:12.20 | Tracy Caulkins | 1:12.52 | Anne Gagnon | 1:14.38 |
| 1983 | Anne Ottenbrite | 1:10.63 | Kathy Bald | 1:11.98 | Kim Rhodenbaugh | 1:12.16 |
| 1987 | Keltie Duggan | 1:12.46 | Lori Heisick | 1:12.52 | Terri Baxter | 1:12.99 |
| 1991 | Dorsey Tierney | 1:10.30 | Lydia Morrow | 1:11.00 | Lisa Flood | 1:11.75 |
| 1995 | Lisa Flood | 1:10.36 | Guylaine Cloutier | 1:10.44 | Kelli King-Bednar | 1:11.44 |
| 1999 | Staciana Stitts | 1:09.16 | Kristen Woodring | 1:09.65 | Lauren van Oosten | 1:10.06 |
| 2003 | Staciana Stitts | 1:09.01 | Corrie Clark | 1:10.09 | Kathleen Stoody | 1:10.56 |
| 2007 | Michelle McKeehan | 1:08.49 | Annamay Pierse | 1:08.72 | Elizabeth Tinnon | 1:09.18 |
| 2011 | Annie Chandler | 1:07.90 | Ashley Wanland | 1:08.55 | Ashley McGregor | 1:08.96 |
| 2015 | Katie Meili | 1:06.26 | Alia Atkinson | 1:06.59 | Rachel Nicol | 1:07.91 |
| 2019 | Anne Lazor | 1:06.94 | Julia Sebastián | 1:07.09 | Faith Knelson | 1:07.42 |
| 2023 | Rachel Nicol | 1:07.28 | Sophie Angus | 1:07.55 | Macarena Ceballos | 1:07.68 |

### 200 m breaststroke

| Games | Gold | Gold | Silver | Silver | Bronze | Bronze |
| 1951 | Dorotea Turnbull | 3:08.4 | Beatriz Rohde | 3:10.3 | Penny Pence | 3:14.7 |
| 1955 | Mary Lou Elsenius | 3:08.4 | Mary Sears | 3:09.0 | Beatriz Rohde | 3:09.4 |
| 1959 | Anne Warner | 2:56.8 | Patty Kempner | 3:00.1 | Anne Brancroft | 3:01.3 |
| 1963 | Alice Driscoll | 2:56.2 | Roby Whipple | 2:57.7 | Marjon Wilmink | 3:00.0 |
| 1967 | Catie Ball | 2:42.18 | Claudia Kolb | 2:48.93 | Ana María Norbis | 2:52.11 |
| 1971 | Lynn Colella | 2:50.03 | Jane Wright | 2:50.96 | Leonor Urueta | 2:52.72 |
| 1975 | Lauri Siering | 2:42.35 | Joann Baker | 2:42.96 | Marcia Morey | 2:45.58 |
| 1979 | Anne Gagnon | 2:35.75 | Joanne Bédard | 2:40.22 | Patricia Speeds | 2:40.79 |
| 1983 | Kathy Bald | 2:35.53 | Susan Rapp | 2:37.91 | Kim Rhodenbaugh | 2:39.03 |
| 1987 | Dorsey Tierney | 2:36.87 | Alicia Boscatto | 2:37.09 | Kathy Smith | 2:37.57 |
| 1991 | Dorsey Tierney | 2:28.69 | Chantal Dubois | 2:33.62 | Lisa Flood | 2:34.08 |
| 1995 | Lisa Flood | 2:31.33 | Guylaine Cloutier | 2:32.43 | Anita Nall | 2:32.82 |
| 1999 | Lauren van Oosten | 2:30.36 | Annemieke McReynolds | 2:30.53 | Katie Yevak | 2:32.85 |
| 2003 | Alexi Spann | 2:13.89 | Lisa Blackburn | 2:15.39 | Kathleen Stoody | 2:16.19 |
| 2007 | Caitlin Leverenz | 2:25.62 | Annamay Pierse | 2:26.79 | Keri Hehn | 2:28.20 |
| 2011 | Ashley McGregor | 2:28.04 | Haley Spencer | 2:29.30 | Michelle McKeehan | 2:30.51 |
| 2015 | Kierra Smith | 2:24.38 | Martha McCabe | 2:24.51 | Anne Lazor | 2:26.24 |
| 2019 | Anne Lazor | 2:21.40 | Bethany Galat | 2:21.84 | Julia Sebastián | 2:25.43 |
| 2023 | Sydney Pickrem | 2:23.39 | Kelsey Wog | 2:23.49 | Gabrielle Assis | 2:25.52 |

### 100 m butterfly

| Games | Gold | Gold | Silver | Silver | Bronze | Bronze |
| 1955 | Beth Whittall | 1:16.2 | Betty Brey | 1:16.5 | Shelley Mann | 1:17.7 |
| 1959 | Becky Collins | 1:09.5 | Nancy Ramey | 1:10.4 | Molly Botkin | 1:12.3 |
| 1963 | Kathy Ellis | 1:07.6 | Mary Stewart | 1:08.9 | Kim Worley | 1:11.6 |
| 1967 | Ellie Daniel | 1:05.24 | Elaine Tanner | 1:05.35 | Marilyn Corson | 1:07.68 |
| 1971 | Deena Deardurff | 1:06.22 | Leslie Cliff | 1:07.77 | Lucy Burle | 1:08.79 |
| 1975 | Camille Wright | 1:02.71 | Peggy Tosdal | 1:03.37 | Wendy Quirk | 1:05.07 |
| 1979 | Jill Sterkel | 1:00.53 | Lisa Buese | 1:00.59 | Nancy Garapick | 1:02.96 |
| 1983 | Laurie Lehner | 1:01.14 | Michelle MacPherson | 1:01.63 | Patty King | 1:01.96 |
| 1987 | Janel Jorgensen | 1:01.28 | Kristen Elias | 1:01.54 | Robin Ruggiero | 1:03.67 |
| 1991 | Diana Trimble | 2:15.80 | Nikki Dryden | 2:16.13 | Joanne Malar | 2:16.36 |
| 1995 | Amy Van Dyken | 1:00.71 | Gabrielle Rose | 1:01.67 | Angie Wester-Krieg | 1:02.79 |
| 1999 | Karen Campbell | 1:00.05 | Jessica Deglau | 1:00.70 | Karine Chevrier | 1:01.15 |
| 2003 | Bettany Goodwin | 59.97 | Audrey Lacroix | 1:00.18 | Dana Kirk | 1:00.51 |
| 2007 | Kathleen Hersey | 59.21 | Samantha Woodward | 59.98 | Gabriella Silva | 1:00.50 |
| 2011 | Claire Donahue | 58.73 | Daynara de Paula | 59.30 | Elaine Breeden | 59.81 |
| 2015 | Kelsi Worrell | 57.78 | Noemie Thomas | 58.00 | Katerine Savard | 58.05 |
| 2019 | Kendyl Stewart | 58.49 | Danielle Hanus | 58.93 | Sarah Gibson | 59.11 |
| 2023 | Maggie Mac Neil | 56.94 | Kelly Pash | 57.85 | Olivia Bray | 58.36 |

### 200 m butterfly

| Games | Gold | Gold | Silver | Silver | Bronze | Bronze |
| 1967 | Claudia Kolb | 2:25.49 | Lee Davis | 2:26.74 | Marilyn Corson | 2:30.54 |
| 1971 | Lynn Colella | 2:23.11 | Alice Jones | 2:28.10 | Susan Smith | 2:32.60 |
| 1975 | Camille Wright | 2:18.57 | Cheryl Gibson | 2:21.95 | Rosemary Ribeiro | 2:22.47 |
| 1979 | Mary T. Meagher | 2:09.77 | Karinne Miller | 2:15.05 | Nancy Garapick | 2:16.40 |
| 1983 | Mary T. Meagher | 2:10.06 | Tracy Caulkins | 2:14.15 | Marie Moore | 2:14.51 |
| 1987 | Kara McGrath | 2:12.54 | Michelle Griglione | 2:15.03 | Shay McNicol | 2:17.78 |
| 1991 | Susan Gottlieb | 2:12.35 | Angie Wester-Krieg | 2:14.55 | Beth Hazel | 2:14.91 |
| 1995 | Trina Jackson | 2:12.37 | Michelle Griglione | 2:14.94 | María Pereyra | 2:18.52 |
| 1999 | Jessica Deglau | 2:09.64 | Jen Button | 2:12.09 | Kalyn Keller | 2:14.60 |
| 2003 | Audrey Lacroix | 2:11.02 | Noelle Bassi | 2:12.81 | Dana Kirk | 2:12.85 |
| 2007 | Kathleen Hersey | 2:07.64 | Courtney Kalisz | 2:12.75 | Daiene Dias | 2:13.35 |
| 2011 | Kim Vandenberg | 2:10.54 | Lyndsay DePaul | 2:12.34 | Rita Medrano | 2:12.43 |
| 2015 | Audrey Lacroix | 2:07.68 | Katherine Mills | 2:09.31 | Joanna Maranhão | 2:09.38 |
| 2019 | Virginia Bardach | 2:10.87 | Mary-Sophie Harvey | 2:11.68 | Meghan Small | 2:12.51 |
| 2023 | Dakota Luther | 2:09.97 | María José Mata | 2:10.25 | Kelly Pash | 2:10.30 |

### 200 m individual medley

| Games | Gold | Gold | Silver | Silver | Bronze | Bronze |
| 1967 | Claudia Kolb | 2:26.06 | Susan Pedersen | 2:30.91 | Sandra Dowler | 2:36.18 |
| 1971 | Leslie Cliff | 2:30.03 | Susie Atwood | 2:30.29 | Cindy Plaisted | 2:33.23 |
| 1975 | Kathy Heddy | 2:22.22 | Jennie Franks | 2:23.37 | Cheryl Gibson | 2:24.22 |
| 1979 | Tracy Caulkins | 2:16.11 | Nancy Garapick | 2:19.36 | Anne Tweedy | 2:20.33 |
| 1983 | Tracy Caulkins | 2:16.22 | Michelle MacPherson | 2:18.22 | Susan Rapp | 2:18.76 |
| 1987 | Susan Habermas | 2:18.22 | Catherine Ritch | 2:20.06 | Karin Helmstaedt | 2:21.59 |
| 1991 | Lisa Summers | 2:16.86 | Joanne Malar | 2:19.14 | Jennifer Toton | 2:19.56 |
| 1995 | Joanne Malar | 2:15.66 | Marianne Limpert | 2:16.13 | Alison Fealey | 2:17.14 |
| 1999 | Joanne Malar | 2:14.18 | Martha Bowen | 2:15.26 | Marianne Limpert | 2:15.80 |
| 2003 | Joanne Malar | 2:15.93 | Corrie Clark | 2:16.78 | Laura Davis | 2:17.33 |
| 2007 | Julia Smit | 2:13.07 | Emily Kukors | 2:13.88 | Stephanie Horner | 2:15.42 |
| 2011 | Julia Smit | 2:13.73 | Alia Atkinson | 2:14.75 | Joanna Maranhão | 2:15.08 |
| 2015 | Caitlin Leverenz | 2:10.51 | Meghan Small | 2:11.26 | Sydney Pickrem | 2:11.29 |
| 2019 | Alexandra Walsh | 2:11.24 | Meghan Small | 2:11.36 | Bailey Andison | 2:14.14 |
| 2023 | Sydney Pickrem | 2:09.04 | Mary-Sophie Harvey | 2:11.92 | Kennedy Noble | 2:14.19 |

### 400 m individual medley

| Games | Gold | Gold | Silver | Silver | Bronze | Bronze |
| 1967 | Claudia Kolb | 5:09.68 | Susan Pedersen | 5:21.57 | Marilyn Corson | 5:36.75 |
| 1971 | Leslie Cliff | 5:13.31 | Cindy Plaisted | 5:13.64 | Susie Atwood | 5:13.75 |
| 1975 | Kathy Heddy | 5:06.05 | Cheryl Gibson | 5:06.87 | Jennie Franks | 5:08.68 |
| 1979 | Tracy Caulkins | 4:46.05 | Anne Tweedy | 4:47.19 | Nancy Garapick | 4:53.37 |
| 1983 | Tracy Caulkins | 4:51.82 | Polly Winde | 4:54.11 | Michelle MacPherson | 4:54.86 |
| 1987 | Tami Bruce | 4:49.34 | Katie Welch | 4:51.32 | Karin Helmstaedt | 4:57.04 |
| 1991 | Amy Shaw | 4:50.39 | Joanne Malar | 4:51.27 | Brandy Wood | 4:52.38 |
| 1995 | Joanne Malar | 4:43.64 | Alison Fealey | 4:48.31 | Jenny Kurth | 4:57.24 |
| 1999 | Joanne Malar | 4:38.46 | Martha Bowen | 4:49.22 | Carolyn Adel | 4:50.41 |
| 2003 | Georgina Bardach | 4:43.40 | Kristen Caverly | 4:46.18 | Joanna Maranhão | 4:46.38 |
| 2007 | Kathleen Hersey | 4:44.08 | Teresa Crippen | 4:46.18 | Georgina Bardach | 4:47.46 |
| 2011 | Julia Smit | 4:46.15 | Joanna Maranhão | 4:46.33 | Allysa Vavra | 4:48.05 |
| 2015 | Caitlin Leverenz | 4:35.46 | Sydney Pickrem | 4:38.03 | Joanna Maranhão | 4:38.07 |
| 2019 | Tessa Cieplucha | 4:39.90 | Virginia Bardach | 4:41.05 | Mary-Sophie Harvey | 4:43.20 |
| 2023 | Julie Brousseau | 4:43.76 | Lucerne Bell | 4:44.27 | Gabrielle Roncatto | 4:44.92 |

### 4×100 m freestyle

| Games | Gold | Gold | Silver | Silver | Bronze | Bronze |
| 1951 | United States Carolyn Green Sharon Geary Jackie LaVine Betty Brey | 4:37.1 | Argentina Ana María Schultz Eileen Holt Cristina Kujath Emma Gondona | 4:48.1 | Brazil Talita Rodrigues Idamis Busin Ana Lucia Santa Rita Piedade Coutinho | 5:03.6 |
| 1955 | United States Wanda Werner Carolyn Green Gretchen Kluter Judith Roberts | 4:31.8 | Canada Helen Stewart Gladys Priestley Virginia Grant Beth Whittall | 4:38.1 | Argentina Liliana Gonzalias Ana María Schultz Eileen Holt Cristina Kujath | 4:43.7 |
| 1959 | United States Molly Botkin Joan Spillane Shirley Stobs Chris von Saltza | 4:17.5 | Canada Margaret Iwasaki Helen Hunt Sara Barber Sandra Scott | 4:31.9 | Mexico Blanca Barrón María Luisa Souza Gloria Botella Rebeca García | 4:37.0 |
| 1963 | United States Elizabeth MacCleary Sharon Stouder Judy Norton Donna de Varona | 4:15.7 | Canada Lynne Pomfret Sharon Pierce Eileen Weir Mary Stewart | 4:31.7 | Brazil Eliana Souza Motta Maria Lourdes Teixeira Angela Maria Palioli Vera Maria Formiga | 4:34.3 |
| 1967 | United States Wendy Fordyce Pam Carpinelli Linda Gustavson Pam Kruse | 4:04.57 | Canada Marion Lay Angela Coughlan Elaine Tanner Sandra Smith | 4:09.73 | Puerto Rico Ana Marcial Kristina Moir Melanie Laporte Anita Lallande | 4:26.56 |
| 1971 | United States Sandy Neilson Wendy Fordyce Katheryn McKitrick Lynn Skrifvars | 4:04.20 | Canada Leslie Cliff Donna Gurr Dianne Gate Angela Coughlan | 4:10.52 | Brazil Rosemary Ribeiro Cristiane Paquelet Maria Hungerbuler Lucy Burle | 4:15.24 |
| 1975 | United States Kathy Heddy Bonnee Brown Jill Sterkel Kim Peyton | 3:53.31 | Canada Gail Amundrud Anne Jardin Wendy Quirk Janice Stenhouse | 3:54.95 | Brazil Christiane Paquelet Lucy Burle Maria Guimarães Rosemary Ribeiro | 4:12.20 |
| 1979 | United States Stephanie Elkins Tracy Caulkins Jill Sterkel Cynthia Woodhead | 3:45.82 | Canada Gail Amundrud Carol Klimpel Anne Jardin Wendy Quirk | 3:50.18 | Mexico Teresa Rivera Isabel Reuss Yvonne Guerrero Helen Plaschinski | 4:02.05 |
| 1983 | United States Jill Sterkel Dara Torres Mary Wayte Carrie Steinseifer | 3:46.46 | Canada Carol Klimpel Kathy Bald Pamela Rai Jane Kerr | 3:49.49 | Mexico Patricia Kohlmann Rosa Fuentes Irma Huerta Teresa Rivera | 4:00.43 |
| 1987 | United States Kathy Coffin Jenny Thompson Sara Linke Carrie Steinseifer | 3:48.68 | Canada Cheryl McArton Robin Ruggiero Manon Simard Denise Gereghty | 3:52.25 | Costa Rica Natasha Aguilar Marcela Cuesta Carolina Mauri Silvia Poll | 3:55.43 |
| 1991 | United States Megan Oesting Suzy Buckovich Lisa Jacob Ashley Tappin | 3:48.88 | Canada Sharon Turner Kristin Topham Joanne Malar Kimberly Paton | 3:52.29 | Brazil Isabelle Vieira Paula Marsiglia Paula Renata Aguiar Paoletti Filippini | 3:52.92 |
| 1995 | United States Angel Martino Amy Van Dyken Lindsey Farella Cristina Teuscher | 3:44.71 | Canada Shannon Shakespeare Katie Brambley Joanne Malar Marianne Limpert | 3:49.26 | Brazil Gabrielle Rose Raquel Takaya Paula Marsiglia Paula Carvalho Aguiar | 3:52.85 |
| 1999 | Canada Jessica Deglau Marianne Limpert Sarah Evanetz Laura Nicholls | 3:45.07 | United States Tammie Spatz Courtney Shealy Stefanie Williams Jen Eberwien | 3:45.72 | Brazil Juliana Machado Rebeca Gusmão Flávia Delaroli Tatiana Lemos | 3:50.37 |
| 2003 | United States Amanda Weir Christina Swindle Colleen Lanne Courtney Shealy | 3:41.93 | Canada Audrey Lacroix Elizabeth Collins Joanne Malar Kelly Doody | 3:46.65 | Brazil Flávia Delaroli Rebeca Gusmão Monique Ferreira Tatiana Lemos | 3:47.05 |
| 2007 | United States Julia Smit Samantha Woodward Emily Kukors Maritza Correira Lauren Thies* Michele King* | 3:41.97 | Canada Elizabeth Collins Seanna Mitchell Chanelle Charron-Watson Hilary Bell | 3:46.23 | Venezuela Arlene Semeco Erin Volcán Ximena Mari Vilar Arriojas Yanel Pinto Jeserik Pinto* Jennifer Marquez* | 3:52.87 |
| 2011 | United States Madison Kennedy Elizabeth Pelton Amanda Kendall Erika Erndl | 3:40.66 | Brazil Michelle Lenhardt Flávia Delaroli Tatiana Barbosa Daynara de Paula Graciele Herrmann* | 3:44.62 | Canada Jennifer Beckberger Caroline Lapierre Ashley McGregor Paige Schultz Gabrielle Soucisse* | 3:48.37 |
| 2015 | Canada Sandrine Mainville Michelle Williams Katerine Savard Chantal Van Landeghem Alyson Ackman* Dominique Bouchard* | 3:36.80 | United States Allison Schmitt Amanda Weir Madison Kennedy Natalie Coughlin Katie Meili* Kelsi Worrell* | 3:37.01 | Brazil Larissa Oliveira Graciele Herrmann Etienne Medeiros Daynara de Paula Daiane Oliveira* Manuella Lyrio* | 3:37.39 |
| 2019 | United States Lia Neal Claire Rasmus Kendyl Stewart Margo Geer | 3:39.59 | Brazil Etiene Medeiros Larissa Oliveira Manuella Lyrio Daynara de Paula | 3:40.39 | Canada Alyson Ackman Kyla Leibel Katerine Savard Alexia Zevnik | 3:41.01 |
| 2023 | Canada Mary-Sophie Harvey Brooklyn Douthwright Maggie Mac Neil Katerine Savard Julie Brousseau* Emma O'Croinin* | 3:37.75 | United States Gabriela Albiero Catie DeLoof Kayla Wilson Amy Fulmer Camille Spink* Olivia Bray* Reilly Tiltmann* | 3:38.42 | Brazil Ana Carolina Vieira Stephanie Balduccini Giovanna Diamante Celine Bispo Lorrane Ferreira* | 3:39.94 |

### 4×200 m freestyle

| Games | Gold | Gold | Silver | Silver | Bronze | Bronze |
| 1987 | United States Susan Habermas Sara Linke Pam Hayden Whitney Hedgepeth | 8:13.34 | Costa Rica Natasha Aguilar Marcela Cuesta Carolina Mauri Silvia Poll | 8:24.25 | Canada Denise Gereghty Cheryl McArton Sally Gilbert Anne-Marie Anderson | 8:25.69 |
| 1991 | United States Natalie Norberg Barbara Metz Jill Skillman Lisa Jacob | 8:11.47 | Canada Kimberly Paton Joanne Malar Nikki Dryden Tara-Lynn Seymour | 8:21.62 | Mexico Lorenza Muñoz María Rivera Heike Koerner Laura Sánchez | 8:29.17 |
| 1995 | United States Trina Jackson Dady Vincent Catherine Fox Cristina Teuscher | 8:07.30 | Canada Katie Brambley Marianne Limpert Shannon Shakespeare Joanne Malar | 8:08.25 | Argentina Alicia Barrancos María Pereyra Natalia Scapinello María Garrone | 8:27.87 |
| 1999 | Canada Jessica Deglau Joanne Malar Marianne Limpert Laura Nicholls | 8:05.56 | United States Caroline Geehr Julia Stowers Megan Melgaard Talor Bendel | 8:07.18 | Brazil Monique Ferreira Nayara Ribeiro Tatiana Lemos Ana Muniz | 8:25.07 |
| 2003 | United States Elizabeth Hill Colleen Lanne Carly Piper Dana Vollmer | 8:05.47 | Brazil Ana Muniz Paula Ribeiro Mariana Brochado Monique Ferreira | 8:10.54 | Canada Joanne Malar Maya Beaudry Elizabeth Collins Kelly Doody | 8:10.85 |
| 2007 | United States Jessica Rodriquez Emily Kukors Ava Ohlgren Katie Carroll Lauren Thies* Teresa Crippen* | 8:02.03 | Canada Chanelle Charron-Watson Elizabeth Collins Hilary Bell Stephanie Horner Savannah King* Zsofia Balazs* | 8:04.56 | Brazil Tatiana Barbosa Monique Ferreira Manuella Lyrio Paula Baracho Joanna Maranhã* | 8:13.15 |
| 2011 | United States Catherine Breed Elizabeth Pelton Chelsea Nauta Amanda Kendall Kim Vandenberg* Erika Erndl* | 8:01.18 | Brazil Joanna Maranhão Jéssica Cavalheiro Manuella Lyrio Tatiana Barbosa Sarah Correa* Gabriela Rocha* Larissa Cieslak* Thamy Ventorin* | 8:09.89 | Mexico Liliana Ibáñez Patricia Castañeda Fernanda González Susana Escobar Martha Beltrán* Rita Medrano* | 8:12.19 |
| 2015 | United States Kiera Janzen Allison Schmitt Courtney Harnish Gillian Ryan Amanda Weir* Kylie Stewart* | 7:54.32 | Brazil Manuella Lyrio Jéssica Cavalheiro Joanna Maranhão Larissa Oliveira Bruna Primati* Gabrielle Roncatto* | 7:56.36 | Canada Emily Overholt Katerine Savard Alyson Ackman Brittany MacLean Erika Seltenreich-Hodgson* Tabitha Bauman* | 7:59.36 |
| 2019 | United States Claire Rasmus Alexandra Walsh Sarah Gibson Meaghan Raab | 7:57.33 | Canada Alyson Ackman Katerine Savard Danica Ludlow Mary-Sophie Harvey | 7:59.16 | Brazil Aline Rodrigues Larissa Oliveira Manuella Lyrio Gabrielle Roncatto | 8:07.77 |
| 2023 | United States Camille Spink Kayla Wilson Kelly Pash Paige Madden Amy Fulmer* Rachel Stege* Olivia Bray* | 7:55.26 | Brazil Maria Fernanda Costa Nathalia Almeida Stephanie Balduccini Gabrielle Roncatto Maria Paula Heitmann* Giovanna Diamante* Celine Bispo* Maria Luíza Pessanha* | 7:55.85 | Canada Mary-Sophie Harvey Julie Brousseau Brooklyn Doutwright Katerine Savard Emma O'Croinin* Sydney Pickrem* | 7:56.98 |

### 4×100 m medley

| Games | Gold | Gold | Silver | Silver | Bronze | Bronze |
| 1951 | United States* Sharon Geary Penny Pence Maureen O'Brien | 3:49.3 | Argentina* Ana María Schultz Nélida Del Roscio Aurora Otero Rey | 3:59.7 | Mexico* Magda Bruggemann Charlotte Knapp Adriana Hernández | 4:13.2 |
| 1955 | United States Coralie O'Connor Mary Jane Sears Betty Brey Wanda Werner | 5:11.6 | Canada Helen Stewart Lenora Fisher Virginia Grant Beth Whittall | 5:12.2 | Argentina Liliana Gonzalias Vanna Rocco Eileen Holt Beatríz Rohde | 5:30.5 |
| 1959 | United States Carin Cone Anne Brancroft Becky Collins Chris von Saltza | 4:44.6 | Canada Margaret Iwasaki Janice Shepp Sara Barber Sandra Scott | 4:58.7 | Mexico Blanca Barrón Eulalia Martínez Gloria Botella Rebeca García | 5:18.7 |
| 1963 | United States Ginny Duenkel Cynthia Goyette Sharon Stouder Donna de Varona | 4:49.1 | Canada Mary Stewart Madelaine Sevigny Sharon Pierce Lynne Pomfret | 4:52.5 | Venezuela Bettina Giller Luisa Ruiz Laura Varela Anneliese Rockenbach | 5:11.8 |
| 1967 | United States Kendis Moore Catie Ball Ellie Daniel Wendy Fordyce | 4:30.0 | Canada Elaine Tanner Donna Ross Marilyn Corson Marion Lay | 4:40.88 | Uruguay Themis Trama Ana María Norbis Lylian Castillo Ruth Apt | 4:49.27 |
| 1971 | Canada Donna Gurr Jane Wright Leslie Cliff Angela Coughlan | 4:35.50 | United States Susie Atwood Lynn Colella Deena Deardurff Sandy Neilson | 4:36.73 | Mexico Maria Teresa Ramírez Leonor Urueta Norma Amezcua Marcia Arriaga | 4:45.18 |
| 1975 | United States Rosemary Bonne Marcia Morey Camille Wright Kim Peyton | 4:22.34 | Canada Lynn Chenard Joanne Baker Wendy Quirk Jill Quirk | 4:24.84 | Brazil Christiane Paquelet Cristina Teixeira Flávia Nadalutti Lucy Burle | 4:37.67 |
| 1979 | United States Linda Jezek Tracy Caulkins Jill Sterkel Cynthia Woodhead | 4:13.24 | Canada Cheryl Gibson Anne Gagnon Nancy Garapick Gail Amundrud | 4:20.16 | Mexico Teresa Rivera Elke Holtz Helen Plaschinski Inez Guerrero | 4:30.59 |
| 1983 | United States Susan Walsh Kim Rhodenbaugh Laurie Lehner Carrie Steinseifer | 4:12.99 | Canada Barbara McBain Anne Ottenbrite Michelle MacPherson Jane Kerr | 4:13.84 | Mexico Teresa Rivera Silvia Rivero Aida Huerta Patricia Kohlmann | 4:30.72 |
| 1987 | United States Holly Green Lori Heisick Janel Jorgensen Sara Linke | 4:12.92 | Canada Manon Simard Keltie Duggan Robin Ruggiero Cheryl McArton | 4:17.78 | Costa Rica Silvia Poll Montserrat Hidalgo Marcela Cuesta Carolina Mauri | 4:23.11 |
| 1991 | United States Jodi Wilson Dorsey Tierney Angie Wester-Krieg Ashley Tappin | 4:12.51 | Brazil Ana Azevedo Glicia Lofego Paoletti Filippini Celina Endo | 4:23.45 | Mexico Heike Koerner Monique Piñon Gabriela Gaja Laura Sánchez | 4:25.94 |
| 1995 | United States BJ Bedford Kelli King Bednar Amy Van Dyken Angel Martino | 4:08.17 | Canada Joanne Malar Lisa Flood Shannon Shakespeare Marianne Limpert | 4:19.06 | Brazil Patrícia Comini Fabíola Molina Gabrielle Rose Paula Carvalho Aguiar | 4:22.08 |
| 1999 | United States Denali Knapp Staciana Stitts Karen Campbell Tammie Spatz | 4:06.08 | Canada Kelly Stefanyshyn Lauren van Oosten Jessica Deglau Laura Nicholls | 4:08.73 | Brazil Fabíola Molina Tanya Schuh Patrícia Comini Tatiana Lemos | 4:15.00 |
| 2003 | United States Diana MacManus Staciana Stitts Dana Vollmer Amanda Weir | 4:05.92 | Canada Joanne Malar Kathleen Stoody Audrey Lacroix Elizabeth Collins | 4:13.72 | Mexico Danielle de Alba Adriana Marmolejo Atenas Lopez Alejandra Galan | 4:18.04 |
| 2007 | United States Julia Smit Michelle McKeehan Kathleen Hersey Maritza Correia Brielle White* | 4:04.60 | Canada Elizabeth Wycliffe Annamay Pierse Stephanie Horner Chanelle Charron-Watson Caitlin Meredith* Jillian Tyler* Elizabeth Collins* | 4:07.85 | Bahamas Alana Dillette Alicia Lightbourne Arianna Vanderpool-Wallace Nikia Deveaux | 4:18.97 |
| 2011 | United States Rachel Bootsma Annie Chandler Claire Donahue Amanda Kendall Elizabeth Pelton* Ashley Wanland* Elaine Breeden* Erika Erndl* | 4:01.00 | Canada Ashley McGregor Gabrielle Soucisse Erin Miller Jennifer Beckberger Brenna MacLean* Kierra Smith* Samantha Corea* Caroline Lapierre* | 4:07.04 | Brazil Fabíola Molina Tatiane Sakemi Daynara de Paula Tatiana Barbosa | 4:07.12 |
| 2015 | United States Natalie Coughlin Katie Meili Kelsi Worrell Allison Schmitt | 3:56.53 | Canada Dominique Bouchard Rachel Nicol Noemie Thomas Chantal Van Landeghem Tera van Beilen* Sandrine Mainville* | 3:58.51 | Brazil Etiene Medeiros Jhennifer Conceição Daynara de Paula Larissa Oliveira Natalia de Luccas* Beatriz Travalon* | 4:02.52 |
| 2019 | United States Phoebe Bacon Anne Lazor Kendyl Stewart Margo Geer Isabelle Stadden* Molly Hannis* Sarah Gibson* Lia Neal | 3:57.64 | Canada Danielle Hanus Faith Knelson Haley Black Alexia Zevnik Mackenzie Glover* Mary-Sophie Harvey* Katerine Savard* Alyson Ackman* | 4:01.90 | Brazil Etiene Medeiros Jhennifer Conceição Giovanna Diamante Larissa Oliveira Fernanda de Goeij* Pâmela de Souza* Daynara de Paula* Manuella Lyrio* | 4:04.96 |
| 2023 | Canada Danielle Hanus Rachel Nicol Maggie Mac Neil Mary-Sophie Harvey Madelyn Gatrall* Sophie Angus* Katerine Savard* Brooklyn Doutwright* | 3:58.76 | United States Josephine Fuller Emma Weber Kelly Pash Catie DeLoof Reilly Tiltmann* Anna Keating* Olivia Bray* Gabriela Albiero* | 3:59.39 | Mexico Miranda Grana Melissa Rodríguez María José Mata Sofia Revilak Andrea Sansores* María Fernanda Jiménez* Miriam Guevara* Athena Meneses* | 4:04.73 |
* The 1951 event was not a 4×100 m but a 3×100 m medley relay

### 10 km marathon

| Games | Gold | Gold | Silver | Silver | Bronze | Bronze |
| 2007 | Chloe Sutton | 2:13:47.6 | Poliana Okimoto | 2:13:48.4 | Tanya Hunks | 2:13:50.5 |
| 2011 | Cecilia Biagioli | 2:04:11.5 | Poliana Okimoto | 2:05:51.3 | Christine Jennings | 2:05:52.2 |
| 2015 | Eva Fabian | 2:03:17.0 | Paola Pérez | 2:03:17.0 | Samantha Arévalo | 2:03:17.1 |
| 2019 | Ana Marcela Cunha | 2:00:51.9 | Cecilia Biagioli | 2:01:23.2 | Viviane Jungblut | 2:01:24.0 |
| 2023 | Ashley Twichell | 1:56:16.4 | Ana Marcela Cunha | 1:57:29.4 | Viviane Jungblut | 1:57:51.1 |

## Mixed events
### 4×100 m freestyle

| Games | Gold | Gold | Silver | Silver | Bronze | Bronze |
| 2019 | United States Michael Chadwick Nathan Adrian Claire Rasmus Margo Geer Andrew Abruzzo* Charles Swanson* Madison Kennedy* Ali DeLoof* | 3:24.84 | Brazil Breno Correia Marcelo Chierighini Larissa Oliveira Etiene Medeiros João de Lucca* Pedro Spajari* Lorrane Ferreira* Camila Mello* | 3:25.97 | Mexico Daniel Ramírez Jorge Iga Monika González-Hermosillo María Mata Tayde Revilak* Marie Condé* José Martínez* | 3:31.36 |
| 2023 | Brazil Guilherme Caribé Marcelo Chierighini Ana Carolina Vieira Stephanie Balduccini Felipe Ribeiro de Souza* Victor Alcará* Lorrane Ferreira* Nathalia Almeida* | 3:23.78 | United States Brooks Curry Jonny Kulow Catie DeLoof Amy Fulmer Jack Dahlgren* Gabi Albiero* Paige Madden* | 3:24.21 | Canada Finlay Knox Javier Acevedo Maggie Mac Neil Mary-Sophie Harvey Stephen Calkins* Édouard Fullum-Huot* Brooklyn Doutwright* Katerine Savard* | 3:25.23 |

### 4×100 m medley

| Games | Gold | Gold | Silver | Silver | Bronze | Bronze |
| 2019 | Brazil Guilherme Guido João Gomes Júnior Giovanna Diamante Larissa Oliveira Jhennifer Conceição* Manuella Lyrio* Leonardo de Deus* Vinicius Lanza* | 3:48.61 | Canada Javier Acevedo James Dergousoff Danielle Hanus Alexia Zevnik Haley Black* Kyla Leibel* | 3:49.97 | Argentina Andrea Berrino Julia Sebastian Santiago Grassi Federico Grabich Virginia Bardach* Florencia Perotti* Lautaro Rodriguez* Roberto Strelkov* | 3:50.53 |
| 2023 | United States Kennedy Noble Jacob Foster Kelly Pash Jonny Kulow Jack Aikins* Arsenio Bustos* Olivia Bray* Kayla Wilson* Vinicius Lanza* | 3:44.71 | Canada Javier Acevedo Gabe Mastromatteo Maggie Mac Neil Mary-Sophie Harvey Blake Tierney* James Dergousoff* Katerine Savard* Brooklyn Doutwright* | 3:46.20 | Brazil Guilherme Basseto João Gomes Júnior Clarissa Rodrigues Stephanie Balduccini Gabriel Fantoni* Jhennifer Conceição* Victor Baganha* Giovanna Diamante* | 3:49.24 |