The championships were long dominated by Eastern Bloc countries, especially the Soviet Union and East Germany.

About 30 years after the dissolution of both countries, with the 2022 edition, Great Britain & Northern Ireland finally took the lead in the all-time medal table, although that is the case only when predecessor and successor states are not combined (i.e. the Soviet Union and Russia).

As of 2024, Andorra, Armenia, Bosnia and Herzegovina, Cyprus, Georgia, Gibraltar, Kosovo, Liechtenstein, Malta, Monaco, North Macedonia and San Marino have yet to win a medal.

Discus thrower Sandra Elkasević (Perković) of Croatia holds the record for most gold medals at seven.

[10] Sandra Elkasević (Perković) of Croatia is the only athlete, male or female, to win the same event (the women's discus throw) seven times (between 2010 and 2024).