2009 Mediterranean Games medal table

The 2009 Mediterranean Games, officially known as the XVI Mediterranean Games (Italian: XVI Giochi del Mediterraneo), was a multi-sport event held in Pescara, Italy, from 26 June to 5 July 2009. A record total of 3,368 athletes—2,183 men and 1,185 women—representing 23 National Olympic Committees (NOCs) participated in the Games. The number of competing NOCs was the highest in Mediterranean Games history, alongside Tunis 2001.

Athletes from every participating NOC, except Andorra and Lebanon, won medals. Among the medalling NOCs, 18 won at least one gold medal.Tunisian swimmer Oussama Mellouli won five gold medals, making him the most successful athlete of the Pescara 2009 Games.French gymnast Youna Dufournet won four golds and one silver, becoming the most decorated female athlete at these Games. In the 400 metres freestyle event, Athens Olympics silver medallist Federica Pellegrini of Italy won gold and broke the world record. She won a second gold medal as part of the relay team in the 4×100 metres freestyle event.Spanish swimmer Aschwin Wildeboer Faber set a new world record in the 100 metres backstroke and won four gold medals.Maltese shooter William Chetcuti won his nation's only medal, a silver in the men's double trap.Yann Siccardi won the only medal for Monaco at the 2009 Mediterranean Games, a silver in the men's 60 kg event of judo.