The 2019 Pan American Games medal table is a list of National Olympic Committees (NOCs) ranked by the number of gold medals won by their athletes during the 2019 Pan American Games, held in Lima, Peru from July 26 to August 11, 2019.

Brazil pulled off its best performance in history, winning 54 gold and 169 overall medals, and finishing second in the standings.

If nations are still tied, equal ranking is given and they are listed alphabetically by IOC country code.

In badminton, boxing, judo, karate, racquetball, taekwondo, table tennis and wrestling, two bronze medals will be awarded for each event.

Barbados, Bolivia, Grenada and Paraguay also won their first ever gold medals at the Pan American Games.