The athletics competition in the 1946 Central American and Caribbean Games were held in Barranquilla, Colombia.

Event	Gold		Silver		Bronze
100 metres	Rafael Fortún  Cuba	10.4	Herb McKenley  Jamaica	10.7	McDonald Bailey  Trinidad and Tobago
200 metres	Rafael Fortún  Cuba	21.6	Lloyd LaBeach  Panama	21.7	Herb McKenley  Jamaica	21.7
400 metres	Arthur Wint  Jamaica	48.0	Herb McKenley  Jamaica	48.5	George Rhoden  Jamaica	49.3
800 metres	Arthur Wint  Jamaica	1:54.8	Wilfred Tull  Trinidad and Tobago	1:56.4	Ken Hyland  Trinidad and Tobago	1:57.6
1500 metres	Wilfred Tull  Trinidad and Tobago	4:07.8	Ken Hyland  Trinidad and Tobago	4:09.6	Arthur Dujon  Jamaica	4:12.4
5000 metres	Mannie Ramjohn  Trinidad and Tobago	15:54.8	Jesús Borgonio  Mexico	15:55.0	Doroteo Flores  Guatemala	15:56.0
10,000 metres	Doroteo Flores  Guatemala	33:55.0	Agustín Romero  Mexico	34:54.8	Cipriano Gómez  Mexico	34:58.2
Half marathon	Doroteo Flores  Guatemala	01:14:33	Luis Velásquez  Guatemala	01:14:39	Rafael Flores  El Salvador	01:15:38
110 metres hurdles	Eligio Barbería  Cuba	14.8	Teófilo Colón  Puerto Rico	15.5	Julio Sabater  Puerto Rico
400 metres hurdles	Eligio Barbería  Cuba	55.3	Relín Sosa  Puerto Rico	56.4	Remigio Castro  Cuba	56.5
4 x 100 m relay	Panama Clifford Loney Arturo Thomas Clayton Clarke Lloyd LaBeach	43.0	Cuba Rafael Fortún Jesús Farrés Pedro Castillo Eligio Barbería	43.1	Trinidad and Tobago George Lewis Nathaniel Preddie Albert McLean McDonald Bailey	43.5
4 x 400 m relay	Jamaica Herb McKenley Clinton Woodstock George Rhoden Arthur Wint	3:18.0	Cuba Juan A. Sáez José L. Gómez Carlos Bombalier Ángel García	3:21.4	Panama Eric Ferguson David Benskin Reginaldo Matthews Cirilo McSween	3:23.2
High jump	Miguel Clovis  Panama	1.85	Gilberto Torres  Puerto Rico	1.85	Francisco Castro  Puerto Rico	1.85
Pole Vault	José Vincente  Puerto Rico	3.98	José Barbosa  Puerto Rico	3.84	Jesús Centeno  Mexico	3.77
Long jump	Lloyd LaBeach  Panama	6.96	Lance Thompson  Jamaica	6.95	Francisco Castro  Puerto Rico	6.92
Triple jump	Francisco Castro  Puerto Rico	14.14	Harold Lawson  Jamaica	14.14	Raúl López  Cuba	13.74
Shot put	Eduardo Adriana  Netherlands Antilles	13.35	Carlos Cervantes  Cuba	13.28	Luis Betancourt  Cuba	13.03
Discus throw	Manuel Seoane  Puerto Rico	39.94	Mauricio Rodríguez  Venezuela	39.86	Carlos Pérez  Mexico	38.69
Hammer throw	Francisco González  Mexico	41.87	Luis Betancourt  Cuba	39.71	Lorenzo Barquín  Cuba	39.70
Javelin throw	Mario Salas  Cuba	55.00	Enrique Pizarro  Puerto Rico	54.18	Nicolás Romero  Puerto Rico	52.75
Pentathlon	Néstor Marchany  Puerto Rico	3374	Amador Terán  Mexico	3294	Víctor Castañeda  El Salvador	3131

Event	Gold		Silver		Bronze
50 metres	Dolores Worrell  Panama	6.4	Cynthia Thompson  Jamaica	6.5	Hyacinth Walters  Jamaica	6.8
100 metres	Cynthia Thompson  Jamaica	12.1	Emilia Foster  Panama	12.7	Dolores Worrell  Panama	12.7
80 metres hurdles	Josefine Lewis  Panama	12.5	Mavis Evelyn  Jamaica	12.7	Kathleen Russell  Jamaica	12.7
4 x 100 m relay	Panama Dolores Worrell Mildred Bannister Esther Stewart Emilia Foster	49.1	Jamaica Cynthia Thompson Cynthia Llewellyn Hyacinth Walters Icis Clarke	50.1	Cuba Regla Cáceres Georgina Iglesias Esperanza McKenzie Bertha Delgado	53.0
High jump	Carmen Phipps  Jamaica	1.54	Vinton Beckett  Jamaica	1.52	Silvia Ford  Panama	1.44
Discus throw	Judith Caballero  Panama	30.17	Esther Reyes  Mexico	29.73	Gloria Álvarez  Cuba	29.72
Javelin throw	Judith Caballero  Panama	38.04	Ángela Iglesias  Cuba	36.75	Alicia Reyes  Puerto Rico	33.99

Rank	Nation	Gold	Silver	Bronze	Total
1	Panama (PAN)	8	2	3	13
2	Jamaica (JAM)	5	8	5	18
3	Cuba (CUB)	5	5	6	16
4	Puerto Rico (PUR)	4	5	5	14
5	Trinidad and Tobago (TTO)	2	2	3	7
6	Guatemala (GUA)	2	1	1	4
7	Mexico (MEX)	1	4	3	8
8	Netherlands Antilles (AHO)	1	0	0	1
9	Venezuela (VEN)	0	1	0	1
10	El Salvador (ESA)	0	0	2	2
Totals (10 entries)		28	28	28	84

• Montesinos, Enrique (2013). "The Oldest Regional Games: Central American & Caribbean Sports Games" (PDF). CACSO.
• "Central American and Caribbean Games (Men)". GBR Athletics.
• "Central American and Caribbean Games (Women)". GBR Athletics.