Pakistan is most successful team in men's handball event winning 2 gold and 1 silver medal, ahead of their arch rivals India.
Pakistan won gold in the 2010 and 2019 edition of the South Asian Games beating India by 37–31 and 30–29 respectively.
[3] In women's handball event, India is at top winning 2 gold medals.
Handball event for men was added to the South Asian Games in its 11th edition held at Dhaka, Bangladesh.
Handball event for women was added to the South Asian Games in its 12th edition held at Guwahati, India.