Water polo has been played consistently at the Mediterranean Games since the year 1951. The Italy men's national water polo team is the most successful team among men, while for women it is the Spain women's national water polo team that gain success with the first inaugural Edition in 2018 Mediterranean Games.

Men's tournament YearHostGold medal gameBronze medal game Gold medalistScore Silver medalist Bronze medalistScoreFourth place1951Details Alexandria 1955Details Barcelona1959Details Beirut1963Details Naples1967Details Tunis1971Details İzmir1975Details Algiers1979Details Split1983Details Casablanca1987Details Latakia1991Details Athens1993Details Languedoc-Roussillon1997Details Bari2001Details Tunis6–56–42005 Details Almería9–79–82009Details Pescara9–410–92013 Details Mersin11–99–82018 Details Tarragona12–106–42022 Details Oran9–816–82026Details Taranto18–1412–82030 Details Pristina

Medals Summary, Men

Women's tournament YearHostGold medal gameBronze medal game Gold medalistScore Silver medalist Bronze medalistScoreFourth place2018Details Tarragona9 – 815 – 52022 OranNo women's tournamentNo women's tournament2026 TarantoNo women's tournamentNo women's tournament

Medals Summary, Women

Footnotes