Athens , Greece
28 June - 12 July 1991
18 Countries competed in 24 Sports
| Country | Gold | Silver | Bronze | Total |
| Italy | 67 | 49 | 52 | 168 |
| France | 48 | 57 | 34 | 139 |
| Turkey | 23 | 11 | 12 | 46 |
| Spain | 22 | 39 | 49 | 110 |
| Yugoslavia | 16 | 13 | 9 | 38 |
| Greece | 9 | 22 | 29 | 60 |
| Algeria | 9 | 3 | 5 | 17 |
| Egypt | 8 | 10 | 17 | 35 |
| Morocco | 5 | 5 | 10 | 20 |
| Syria | 4 | 2 | 5 | 11 |
| Cyprus | 1 | 2 | 1 | 4 |
| Lebanon | 1 | 1 | 1 | 3 |
| Tunisia | 1 | 0 | 5 | 6 |
| Albania | 0 | 4 | 4 | 8 |
| Libya | 0 | 0 | 0 | 0 |
| Malta | 0 | 0 | 0 | 0 |
| Monaco | 0 | 0 | 0 | 0 |
| San Marino | 0 | 0 | 0 | 0 |