Cologne was elected in the FGG annual meeting in Chicago on 13 November 2005.

[5] The Official Anthem for the 2010 Gay Games was "Facing a Miracle" by Taylor Dayne in which she performed live.

Also Sir Elton John was announced as an ambassador of the games on November 7.

The 35 disciplines consisted of Badminton, Basketball, Beach-Volleyball, Bodybuilding (Physique), Bowling, Bridge, Chess, Cycling, DanceSport, Diving, Field Hockey, Figure Skating, Golf, Handball, Ice Hockey, Inline Speed Skating, Martial Arts, Pool-Billiards, Powerlifting, Road Races incl.

Marathon, Sailing, Soccer (Football), Softball, Sport Climbing, Sport Shooting, Squash, Swimming, Synchronized Swimming, Table Tennis, Tennis, Track and Field Triathlon, Volleyball, Water Polo and Wrestling.