Athletics at the 1990 Central American and Caribbean Games Medal table Medal table

| Rank_ | Nation | Gold | Silver | Bronze | Total |
|---|---|---|---|---|---|
| 1 | Cuba | 27 | 17 | 7 | 51 |
| 2 | Mexico | 10 | 13 | 5 | 28 |
| 3 | Colombia | 2 | 4 | 9 | 15 |
| 4 | Puerto Rico | 2 | 3 | 3 | 8 |
| 5 | Suriname | 1 | 1 | 0 | 2 |
| 6 | Jamaica | 1 | 0 | 2 | 3 |
| 7 | Antigua and Barbuda | 0 | 2 | 1 | 3 |
| 8 | Venezuela | 0 | 1 | 7 | 8 |
| 9 | Trinidad and Tobago | 0 | 1 | 3 | 4 |
| 10 | Barbados | 0 | 1 | 0 | 1 |
| 11 | Costa Rica | 0 | 0 | 2 | 2 |
| 11 | Bermuda | 0 | 0 | 2 | 2 |
| 13 | Bahamas | 0 | 0 | 1 | 1 |
| 13 | Guyana | 0 | 0 | 1 | 1 |