After initially being scheduled for July 25 to August 5, 2022, the competition was originally delayed a year because of challenges posed by the COVID-19 pandemic, including finishing construction of the New Marshall Islands Stadium.

[5] However, in March 2023 MISF President Shev Livai stated that football would not be part of the tournament.

The federation investigated the possibility of adding football to the schedule but hotels on the islands were already fully booked.

Progress was slowed by supply chain and worker shortages caused by the COVID-19 pandemic, the Russian invasion of Ukraine, and Asia Pacific Airlines, the sole cargo carrier for the Marshall Islands, being grounded by the US Federal Aviation Administration since 1 February 2023.

[9] Athletes competed in 14 different sports at the games: Source:[10] The Commonwealth of the Northern Mariana Islands (CNMI) topped the medal tally with 70 golds, followed by Nauru on 68.