Athletics at the 1998 Central American and Caribbean Games Medal table Medal table

| Rank_ | Nation | Gold | Silver | Bronze | Total |
|---|---|---|---|---|---|
| 1 | Cuba | 19 | 13 | 12 | 44 |
| 2 | Mexico | 12 | 9 | 7 | 28 |
| 3 | Jamaica | 6 | 9 | 7 | 22 |
| 4 | Venezuela | 2 | 4 | 5 | 11 |
| 5 | Bahamas | 2 | 2 | 3 | 7 |
| 6 | Barbados | 1 | 1 | 1 | 3 |
| 7 | Dominican Republic | 1 | 0 | 1 | 2 |
| 7 | Puerto Rico | 1 | 0 | 1 | 2 |
| 9 | U.S. Virgin Islands | 1 | 0 | 0 | 1 |
| 9 | Suriname | 1 | 0 | 0 | 1 |
| 11 | Colombia | 0 | 4 | 6 | 10 |
| 12 | Trinidad and Tobago | 0 | 3 | 0 | 3 |
| 13 | Guatemala | 0 | 1 | 2 | 3 |
| 14 | El Salvador | 0 | 0 | 1 | 1 |