Field hockey at the 2023 Central American and Caribbean Games will be held from 23 June to 8 July 2023 at Estadio Del Parque El Este in Santo Domingo, Dominican Republic.

[3] *   Host nation (Dominican Republic)Mexico won their second title by defeating Trinidad and Tobago 5–1 in the final.

The defending champions Cuba won the bronze medal by defeating Barbados 4–2.

Mexico won their first gold medal in women's field hockey at the Central American and Caribbean Games by defeating the defending champions Cuba 3–2 in a shoot-out after the match finished 1–1.

Barbados won the bronze medal by defeating the hosts the Dominican Republic 4–2 in a shoot-out after the match finished 2–2.