Fistball was introduced as a World Games sport for men at the 1985 World Games in London. Women's fistball competition has not yet been introduced.
Medalists
World Games - Men
| Year | Host | Gold | Silver | Bronze |
|---|---|---|---|---|
| 1985 |  London, United Kingdom |
 West Germany |
 Austria |
 Switzerland |
| 1989 | Karlsruhe, West Germany |
West Germany |
 Brazil |
Austria |
| 1993 |  The Hague, Netherlands |
Germany |
Switzerland |
Austria |
| 1997 |  Lahti, Finland |
Germany |
Austria |
 Brazil |
| 2001 |  Akita, Japan |
Austria |
Brazil |
Germany |
| 2005 | Duisburg, Germany |
Austria |
Brazil |
Germany |
| 2009 |  Kaohsiung, Chinese Taipei |
Brazil |
Switzerland |
Austria |
| 2013 |  Cali, Colombia |
Germany |
Switzerland |
Austria |
| 2017 |  Wroclaw, Poland |
Germany |
Switzerland |
Austria |