1978 European Athletics Championships Medals table Medals table

| Rank_ | Nation | Gold | Silver | Bronze | Total |
|---|---|---|---|---|---|
| 1 | Soviet Union | 12 | 12 | 11 | 35 |
| 2 | East Germany | 12 | 10 | 10 | 32 |
| 3 | West Germany | 4 | 2 | 2 | 8 |
| 4 | Italy | 4 | 1 | 0 | 5 |
| 5 | Poland | 2 | 2 | 3 | 7 |
| 6 | Great Britain | 1 | 4 | 2 | 7 |
| 7 | Finland | 1 | 2 | 3 | 6 |
| 8 | Yugoslavia | 1 | 1 | 0 | 2 |
| 9 | France | 1 | 0 | 1 | 2 |
| 10 | Hungary | 1 | 0 | 0 | 1 |
| 10 | Spain | 1 | 0 | 0 | 1 |
| 12 | Czechoslovakia | 0 | 2 | 3 | 5 |
| 13 | Romania | 0 | 2 | 0 | 2 |
| 14 | Switzerland | 0 | 1 | 1 | 2 |
| 15 | Ireland | 0 | 1 | 0 | 1 |
| 15 | Sweden | 0 | 1 | 0 | 1 |