Athletics at the 1974 Central American and Caribbean Games Medal table Medal table

| Rank_ | Nation | Gold | Silver | Bronze | Total |
|---|---|---|---|---|---|
| 1 | Cuba | 27 | 23 | 13 | 63 |
| 2 | Colombia | 4 | 1 | 1 | 6 |
| 3 | Mexico | 2 | 4 | 7 | 13 |
| 4 | Venezuela | 1 | 2 | 3 | 6 |
| 5 | Netherlands Antilles | 1 | 0 | 1 | 2 |
| 6 | Puerto Rico | 0 | 1 | 7 | 8 |
| 7 | Jamaica | 0 | 1 | 2 | 3 |
| 8 | Panama | 0 | 1 | 1 | 2 |
| 9 | Dominican Republic | 0 | 1 | 0 | 1 |
| 9 | Costa Rica | 0 | 1 | 0 | 1 |