FEMININO
| Jogos Pan Americanos | Ouro | Prata | Bronze | |||
| 2007 | Chloe Sutton USA | 2:13:47.6 | Poliana Okimoto BRA | 2:13:48.4 | Tanya Hunks CAN | 2:13:50.5 |
| 2011 | Cecilia Biagioli ARG | 2:04:11.5 | Poliana Okimoto BRA | 2:05:51.3 | Christine Jennings USA | 2:05:52.2 |
| 2015 | Evan Fabian USA | 2:03:17.0 | Paola Perez VEN | 2:03:17.0 | Samantha Arevalo ECU | 2:03:17.1 |
| 2019 | Ana Marcela Cunha BRA | 2:00:51.9 | Cecilia Biagioli ARG | 2:01:23.2 | Viviane Jungblut BRA | 2:01:24.0 |
MASCULINO
| Jogos Pan Americanos | Ouro | Prata | Bronze | |||
| 2007 | Francis Crippen USA | 2:02:24.1 | Chip Peterson USA | 2:02:29.2 | Allan do Carmo BRA | 2:03:53.7 |
| 2011 | Richard Weinberger CAN | 1:57:31.0 | Arthur Frayler USA | 1:57:31.3 | Guillermo Bertola ARG | 1:57:33.9 |
| 2015 | Chip Peterson USA | 1:54:03.6 | David Heron USA | 1:54:07.4 | Esteban Enderica ECU | 1:54:09.2 |
| 2019 | Esteban Enderica ECU | 1:53:46.7 | Taylor Abbott USA | 1:54:02.7 | Victor Colonese BRA | 1:54:03.6 |