Football was contested for men only at the 1974 Central American and Caribbean Games in Santo Domingo, Dominican Republic.

All matches took place at the newly constructed Félix Sánchez Olympic Stadium.

The gold medal was won by Cuba for the second time, who defeated Trinidad and Tobago in the final on penalties after a 1-1 draw.

The tournament was won by Panama's U-21 side, with the second-placed team being Nicaragua, hence assuring qualification for the 1974 Central American and Caribbean Games.

This article about a CONCACAF/North, Central American and Caribbean association football competition is a stub.