Athletics at the 1986 Central American and Caribbean Games Medal table Medal table

| Rank_ | Nation | Gold | Silver | Bronze | Total |
|---|---|---|---|---|---|
| 1 | Cuba | 27 | 16 | 8 | 51 |
| 2 | Mexico | 6 | 9 | 6 | 21 |
| 3 | Colombia | 3 | 1 | 7 | 11 |
| 4 | Bahamas | 2 | 4 | 3 | 9 |
| 5 | Puerto Rico | 2 | 3 | 6 | 11 |
| 6 | Jamaica | 1 | 3 | 3 | 7 |
| 7 | U.S. Virgin Islands | 1 | 0 | 1 | 2 |
| 8 | Guyana | 1 | 0 | 0 | 1 |
| 9 | Dominican Republic | 0 | 4 | 2 | 6 |
| 10 | Trinidad and Tobago | 0 | 2 | 1 | 3 |
| 10 | Venezuela | 0 | 2 | 1 | 3 |
| 12 | Barbados | 0 | 0 | 2 | 2 |
| 13 | Haiti | 0 | 0 | 1 | 1 |
| 13 | Panama | 0 | 0 | 1 | 1 |