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Football competitions have were first held at the Micronesian Games for the 1998 edition of the tournament. The event is open to the ten member federations of the Micronesian Games Council, a sub-regional member of the Oceania National Olympic Committees. The football tournament has been held at two subsequent games since 1998, in 2014 and 2018. Although a similar football tournament called the Micronesian Cup was held in 1999 and 2001, they were separate events as no Micronesian Games were held in those years.
Football was played at the Micronesia Games for the first time in 1998. However, it was designed as an exhibition event that did not issue medals or count in the tournament standings. Additionally, the event was for 9-a-side teams on a field that was below regulation size with the matches being eighty minutes in length. All matches were played at the Emmaus High School Field in Koror, Palau. The Northern Mariana Islands defeated Guam in the final to become inaugural champions. Guam forward Matt Naputi was the tournament's top goal scorer with thirteen tallies.