The 18th Central American and Caribbean Games were held in Maracaibo, Venezuela from August 8 to August 22, 1998 and included 31 nations and a total of 5,200 competitors.
| Rank | Nation | Gold | Silver | Bronze | Total |
|---|---|---|---|---|---|
| 1 | Cuba | 191 | 74 | 69 | 334 |
| 2 | Mexico | 61 | 87 | 71 | 219 |
| 3 | Venezuela | 56 | 68 | 67 | 191 |
| 4 | Colombia | 19 | 43 | 51 | 113 |
| 5 | Puerto Rico | 11 | 21 | 48 | 80 |
| 6 | Dominican Republic | 7 | 20 | 44 | 71 |
| 7 | Suriname | 7 | 1 | 0 | 8 |
| 8 | Jamaica | 6 | 13 | 10 | 29 |
| 9 | El Salvador | 4 | 11 | 22 | 37 |
| 10 | Guatemala | 3 | 11 | 22 | 36 |
| 11 | Panama | 3 | 6 | 4 | 13 |
| 12 | Netherlands Antilles | 3 | 2 | 5 | 10 |
| 13 | Costa Rica | 2 | 3 | 5 | 10 |
| 14 | Bahamas | 2 | 2 | 4 | 8 |
| – | Barbados | 2 | 2 | 4 | 8 |
| 16 | Trinidad and Tobago | 1 | 8 | 5 | 14 |
| 17 | Virgin Islands | 1 | 1 | 0 | 2 |
| 18 | Nicaragua | 0 | 2 | 6 | 8 |
| 19 | Honduras | 0 | 1 | 5 | 6 |
| 20 | Haiti | 0 | 0 | 3 | 3 |
| 21 | Aruba | 0 | 0 | 1 | 1 |
| – | Guyana | 0 | 0 | 1 | 1 |
| Total | 379 | 376 | 446 | 1201 | |