Biathlon has been contested at the Winter Paralympic Games since the Winter Games in 1988, in Innsbruck, Austria.

In the winter Paralympics where the sport was introduced, only athletes with physical impairments were allowed to compete.

In the following Winter Paralympics in 1992, competitors expanded to include those with visual impairments.

[1] Athletes are separated into 3 categories: sitting, standing and visually impaired, and they compete in 3 events: sprint, middle distance, long distance.

[1] [2][3][4] [5][6] NPCs in italics no longer compete at the Winter Paralympics As of 2022 Winter Paralympics