Racquetball has been included at the Central American and Caribbean Games since 1990.
Over that period Mexican players have dominated the podium, winning gold at every event in Men's and Women's Doubles, and winning gold in Men's and Women's Singles all but two times each.
Mexico has also won every gold medal in the Men's and Women's Team events.
There was a playoff in Men's and Women's Singles and Doubles for the bronze medal the first three times racquetball was in the Central American and Caribbean Games, but in 2002 that playoff was eliminated with both semi-finalists awarded bronze medals.
Dominican RepublicLuis PerezJunior Rodriguez Dominican RepublicLuis PerezRamon De Leon Note: Guatemalan born players competed as Centro Caribe Sports at the 2023 Central American and Caribbean Games, but their medals are added to Guatemala in the above tables.