2009 Island Games Medal table Medal table

| Rank_ | Nation | Gold | Silver | Bronze | Total |
|---|---|---|---|---|---|
| 1 | Faroe Islands | 34 | 23 | 24 | 81 |
| 2 | Isle of Man | 29 | 30 | 29 | 88 |
| 3 | Jersey | 24 | 37 | 19 | 80 |
| 4 | Guernsey | 21 | 12 | 27 | 60 |
| 5 | Gotland | 21 | 11 | 23 | 55 |
| 6 | Åland | 16 | 19 | 18 | 53 |
| 7 | Bermuda | 14 | 6 | 12 | 32 |
| 8 | Minorca | 9 | 7 | 11 | 27 |
| 9 | Cayman Islands | 7 | 4 | 3 | 14 |
| 10 | Saaremaa | 6 | 9 | 10 | 25 |
| 11 | Isle of Wight | 4 | 6 | 8 | 18 |
| 12 | Gibraltar | 4 | 3 | 8 | 15 |
| 13 | Rhodes | 3 | 8 | 7 | 18 |
| 14 | Shetland Islands | 2 | 1 | 7 | 10 |
| 15 | Greenland | 1 | 4 | 3 | 8 |