Water polo was first introduced to the program of the Central American and Caribbean Games (CACGs) in 1938 in Panama City, and has been contested at every edition since.
| Games | Gold | Silver | Bronze |
|---|---|---|---|
| 2006 Cartagena |  Cuba (CUB) |  Puerto Rico (PUR) |  Venezuela (VEN) |
| 2010 Mayagüez | Puerto Rico (PUR) | Venezuela (VEN) |  Mexico (MEX) |
| 2014 Veracruz | Venezuela (VEN) | Puerto Rico (PUR) | Cuba (CUB) |
| 2018 Barranquilla | Cuba (CUB) | Puerto Rico (PUR) | Mexico (MEX) |
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