| Host |  Åland |
|---|---|
| Teams | 17 islands |
| Athletes | 1700 |
| Events | 13 |
| Opening | June 23, 1991 |
| Closing | June 29, 1991 |
| Main venue | Wiklöf Holding Arena |
The 1991 Island Games were the fourth Island Games, and were held in Åland, from 23 to 29 June.
| Host | Åland |
|---|---|
| Teams | 17 islands |
| Athletes | 1700 |
| Events | 13 |
| Opening | June 23, 1991 |
| Closing | June 29, 1991 |
| Main venue | Wiklöf Holding Arena |
The 1991 Island Games were the fourth Island Games, and were held in Åland, from 23 to 29 June.
* Host nation (Åland)
| Rank | Nation | Gold | Silver | Bronze | Total |
|---|---|---|---|---|---|
| 1 | Åland (ALA)* | 23 | 24 | 12 | 59 |
| 2 |  Jersey (JEY) | 20 | 16 | 33 | 69 |
| 3 |  Isle of Man (IOM) | 20 | 15 | 18 | 53 |
| 4 |  Gotland (Gotland) | 19 | 11 | 14 | 44 |
| 5 |  Guernsey (GUE) | 13 | 13 | 16 | 42 |
| 6 |  Iceland (ISL) | 9 | 5 | 8 | 22 |
| 7 |  Saaremaa | 8 | 7 | 3 | 18 |
| 8 |  Faroe Islands (FRO) | 6 | 10 | 11 | 27 |
| 9 |  Isle of Wight (IOW) | 2 | 10 | 10 | 22 |
| 10 |  Orkney Islands | 2 | 5 | 1 | 8 |
| 11 |  Gibraltar (GIB) | 2 | 4 | 2 | 8 |
| 12 |  Greenland (GRL) | 2 | 1 | 6 | 9 |
| 13 |  Prince Edward Island | 1 | 1 | 0 | 2 |
| 14 |  Ynys Mon | 0 | 2 | 1 | 3 |
| 15 |  Shetland (SHE) | 0 | 1 | 1 | 2 |
| 16 |  Frøya | 0 | 0 | 0 | 0 |
 Sark | 0 | 0 | 0 | 0 | |
| Totals (17 entries) | 127 | 125 | 136 | 388 | |
The sports chosen for the games were:
