| Host City | Mayagüez |
|---|---|
| Country | |
| Held | 4 – 6 August 2023 |
| Competitors | 153 |
| Countries | 16 |
| Event | Gender | Held | Status | Competitors | Countries |
|---|---|---|---|---|---|
| 100 m | Men | — | Medal | 3 | 3 |
| 200 m | Men | — | Medal | 3 | 3 |
| 400 m | Men | — | Medal | 3 | 2 |
| 800 m | Men | — | Medal | 3 | 2 |
| 1,500 m | Men | — | Medal | 3 | 3 |
| 5,000 m | Men | — | Medal | 3 | 2 |
| 110 m Hurdles | Men | — | Medal | 3 | 3 |
| 400 m Hurdles | Men | — | Medal | 3 | 2 |
| 3,000 m Steeplechase | Men | — | Medal | 3 | 3 |
| 4 x 100 m Relay | Men | — | Medal | 12 | 3 |
| 4 x 400 m Relay | Men | — | Medal | 12 | 3 |
| 10 km Walk | Men | — | Medal | 3 | 3 |
| High Jump | Men | — | Medal | 3 | 2 |
| Pole Vault | Men | — | Medal | 3 | 3 |
| Long Jump | Men | — | Medal | 3 | 2 |
| Triple Jump | Men | — | Medal | 3 | 3 |
| Shot Put | Men | — | Medal | 3 | 2 |
| Discus Throw | Men | — | Medal | 3 | 2 |
| Hammer Throw | Men | — | Medal | 3 | 3 |
| Javelin Throw | Men | — | Medal | 3 | 2 |
| Decathlon | Men | — | Medal | 3 | 2 |
| 100 m | Women | — | Medal | 3 | 2 |
| 200 m | Women | — | Medal | 3 | 2 |
| 400 m | Women | — | Medal | 3 | 2 |
| 800 m | Women | — | Medal | 3 | 2 |
| 1,500 m | Women | — | Medal | 3 | 3 |
| 3,000 m | Women | — | Medal | 3 | 2 |
| 5,000 m | Women | — | Medal | 3 | 3 |
| 100 m Hurdles | Women | — | Medal | 3 | 3 |
| 400 m Hurdles | Women | — | Medal | 3 | 2 |
| 3,000 m Steeplechase | Women | — | Medal | 3 | 2 |
| 4 x 100 m Relay | Women | — | Medal | 12 | 3 |
| 4 x 400 m Relay | Women | — | Medal | 12 | 3 |
| 10 km Walk | Women | — | Medal | 3 | 3 |
| High Jump | Women | — | Medal | 3 | 2 |
| Pole Vault | Women | — | Medal | 3 | 2 |
| Long Jump | Women | — | Medal | 3 | 2 |
| Triple Jump | Women | — | Medal | 3 | 2 |
| Shot Put | Women | — | Medal | 3 | 2 |
| Discus Throw | Women | — | Medal | 3 | 3 |
| Hammer Throw | Women | — | Medal | 3 | 2 |
| Javelin Throw | Women | — | Medal | 3 | 2 |
| Heptathlon | Women | — | Medal | 3 | 2 |
| 4 x 400 m Relay | Mixed | — | Medal | 12 | 3 |
| Pos | Country | 🥇 Gold | 🥈 Silver | 🥉 Bronze | Total | |
|---|---|---|---|---|---|---|
| 1 | United States | 30 | 18 | 14 | 62 | |
| 2 | Canada | 6 | 4 | 6 | 16 | |
| 3 | Jamaica | 1 | 8 | 4 | 13 | |
| 4 | Brazil | 1 | 3 | 7 | 11 | |
| 5 | Peru | 1 | 2 | 1 | 4 | |
| 6 | Bahamas | 1 | 1 | 1 | 3 | |
| 7 | Chile | 1 | 1 | 0 | 2 | |
| = | Costa Rica | 1 | 1 | 0 | 2 | |
| = | Uruguay | 1 | 1 | 0 | 2 | |
| 10 | Nicaragua | 1 | 0 | 0 | 1 | |
| 11 | Puerto Rico | 0 | 2 | 4 | 6 | |
| 12 | Argentina | 0 | 1 | 2 | 3 | |
| 13 | Colombia | 0 | 1 | 0 | 1 | |
| = | United States Virgin Islands | 0 | 1 | 0 | 1 | |
| 15 | Mexico | 0 | 0 | 4 | 4 | |
| 16 | Guatemala | 0 | 0 | 1 | 1 | |