Touch rugby was introduced to the Pacific Games in 2003 at Suva in Fiji. It is an optional sport for the Pacific Games program, and the tournaments include men's, women's and mixed competitions. The first touch rugby tournament at the Pacific Mini Games was played in the Cook Islands in 2009.

Men's summaries YearHostFinalBronze medal matchRefGold medalScoreSilver medalBronze medalScoreFourth place 2003Suva Fiji6–5 Papua New Guinea Samoamedalplayoffs Tuvalu 2007Apia Fiji6–4 Samoa Papua New Guinea5–4 Cook Islands 2015Port Moresby Papua New Guinea8–7 Samoa Cook Islands18–4 Solomon Islands 2019Apia Papua New Guinea12–11 Samoa Fiji9–6 Cook Islands 2023 Honiara––

Women's summaries YearHostFinalBronze medal matchRefGold medalScoreSilver medalBronze medalScoreFourth place 2003SuvaNo women's competition on programme 2007Apia Cook Islands4–1 Samoa Papua New Guinea7–6 Niue 2015Port Moresby Papua New Guinea6–2 Samoa Cook Islands11–2 Kiribati 2019Apia Papua New Guinea9–4 Samoa Fiji6–5 Cook Islands 2023 Honiara––

Mixed tournament YearHostFinalBronze medal matchRefGold medalScoreSilver medalBronze medalScoreFourth place 2003Suva Fiji9–8 Cook Islands Samoamedalplayoffs Niue 2007Apia Samoa7–6 Cook Islands Papua New Guinea5–4 Niue 2015Port Moresby Samoa9–7 Papua New Guinea Cook Islands10–3 Tonga 2019Apia Papua New Guinea10–9 Samoa Cook Islands10–7 Fiji 2023 Honiara––

Medal table

Pacific Mini Games Men's YearHostFinalBronze medal matchRefGold medalScoreSilver medalBronze medalScoreFourth place 2009Rarotonga Cook Islands9–4 Fiji Samoa

Women's YearHostFinalBronze medal matchRefGold medalScoreSilver medalBronze medalScoreFourth place 2009Rarotonga Samoa5–4 Cook Islands Niue

Mixed YearHostFinalBronze medal matchRefGold medalScoreSilver medalBronze medalScoreFourth place 2009Rarotonga Cook Islands8–7(a.e.t.) Fiji Papua New Guinea

References