Fistball was introduced as a World Games sport for men at the 1985 World Games in London. Women's fistball competition has not yet been introduced.
| Games | Gold | Silver | Bronze |
|---|---|---|---|
| 1985 London | West Germany (FRG) | Austria (AUT) | Switzerland (SUI) |
| 1989 Karlsruhe | West Germany (FRG) | Brazil (BRA) | Austria (AUT) |
| 1993 Den Haag | Germany (GER) | Switzerland (SUI) | Austria (AUT) |
| 1997 Lahti | Germany (GER) | Austria (AUT) | Brazil (BRA) |
| 2001 Akita | Austria (AUT) | Brazil (BRA) | Germany (GER) |
| 2005 Duisburg | Austria (AUT) | Brazil (BRA) | Germany (GER) |
| 2009 Kaohsiung | Brazil (BRA) | Switzerland (SUI) | Austria (AUT) |