The following Americans won medals at the Pan American Games
| Medal | Name | Weight | PAG | Date | Location | Medal |
| 1 | Joseph DePietro | 56kg | I | 1951 | Buenos Aires, ARG | 🥇 |
| 2 | Richard Greenswalt | 60kg | I | 1951 | Buenos Aires, ARG | 🥈 |
| 3 | Joe Pitman | 67.5kg | I | 1951 | Buenos Aires, ARG | 🥇 |
| 4 | Peter George | 75kg | I | 1951 | Buenos Aires, ARG | 🥇 |
| 5 | Stanley Stanczyk | 82.5kg | I | 1951 | Buenos Aires, ARG | 🥇 |
| 6 | John Davis | 90kg | I | 1951 | Buenos Aires, ARG | 🥇 |
| 7 | Charles Vinci | 56kg | II | 1955 | Mexico City, MEX | 🥇 |
| 8 | Yas Kuzuhara | 60kg | II | 1955 | Mexico City, MEX | 🥈 |
| 9 | Joe Pitman | 67.5kg | II | 1955 | Mexico City, MEX | 🥇 |
| 10 | Peter George | 75kg | II | 1955 | Mexico City, MEX | 🥇 |
| 11 | Tommy Kono | 82.5kg | II | 1955 | Mexico City, MEX | 🥇 |
| 12 | Dave Shepard | 90kg | II | 1955 | Mexico City, MEX | 🥇 |
| 13 | Norbert Schemansky | +90kg | II | 1955 | Mexico City, MEX | 🥇 |
| 14 | Charles Vinci | 56kg | III | 1959 | Havana, CUB | 🥇 |
| 15 | Isaac Berger | 60kg | III | 1959 | Havana, CUB | 🥇 |
| 16 | Paul Goldberg | 67.5kg | III | 1959 | Havana, CUB | 🥈 |
| 17 | Tommy Kono | 75kg | III | 1959 | Havana, CUB | 🥇 |
| 18 | James George | 82.5kg | III | 1959 | Havana, CUB | 🥇 |
| 19 | Clyde Emrich | 90kg | III | 1959 | Havana, CUB | 🥇 |
| 20 | David Ashman | +90kg | III | 1959 | Havana, CUB | 🥇 |
| 21 | Gary Hanson | 56kg | IV | 1963 | Sao Paulo, BRA | 🥉 |
| 22 | Isaac Berger | 60kg | IV | 1963 | Sao Paulo, BRA | 🥇 |
| 23 | Anthony Garcy | 67.5kg | IV | 1963 | Sao Paulo, BRA | 🥇 |
| 24 | Joseph Puleo | 75kg | IV | 1963 | Sao Paulo, BRA | 🥇 |
| 25 | Tommy Kono | 82.5kg | IV | 1963 | Sao Paulo, BRA | 🥇 |
| 26 | Bill March | 90kg | IV | 1963 | Sao Paulo, BRA | 🥇 |
| 27 | Sydney Henry | +90kg | IV | 1963 | Sao Paulo, BRA | 🥇 |
| 28 | Walter Imahara | 60kg | V | 1967 | Winnipeg, CAN | 🥇 |
| 29 | Russell Knipp | 75kg | V | 1967 | Winnipeg, CAN | 🥇 |
| 30 | Joseph Puleo | 82.5 kg | V | 1967 | Winnipeg, CAN | 🥇 |
| 31 | Phillip Grippaldi | 90kg | V | 1967 | Winnipeg, CAN | 🥇 |
| 32 | Joseph Dube | +90kg | V | 1967 | Winnipeg, CAN | 🥇 |
| 33 | James Benjamin | 67.5kg | VI | 1971 | Cali, COL | 🥈 |
| 34 | Russell Knipp | 75kg | VI | 1971 | Cali, COL | 🥇 |
| 35 | Michael Karchut | 82.5kg | VI | 1971 | Cali, COL | 🥇 |
| 36 | Phillip Grippaldi | 90kg | VI | 1971 | Cali, COL | 🥇 |
| 37 | Patrick Holbrook | 90kg | VI | 1971 | Cali, COL | 🥈 |
| 38 | Gary Deal | 110kg | VI | 1971 | Cali, COL | 🥇 |
| 39 | Robert Kemper | 110kg | VI | 1971 | Cali, COL | 🥈 |
| 40 | Ken Patera | +110kg | VI | 1971 | Cali, COL | 🥇 |
| 41 | Daniel Cantore | 67.5kg | VII | 1975 | Mexico City, MEX | 🥈 |
| 42 | James Napier | 75kg | VII | 1975 | Mexico City, MEX | 🥈 |
| 43 | Lee James | 82.5kg | VII | 1975 | Mexico City, MEX | 🥇 |
| 44 | Phillip Grippaldi | 90kg | VII | 1975 | Mexico City, MEX | 🥇 |
| 45 | Frank Capsouras | 90kg | VII | 1975 | Mexico City, MEX | 🥉 |
| 46 | Mark Cameron | 110kg | VII | 1975 | Mexico City, MEX | 🥈 |
| 47 | Bruce Wilhelm | +110kg | VII | 1975 | Mexico City, MEX | 🥈 |
| 48 | Phillip Sanderson | 60kg | VIII | 1979 | San Juan, PUR | 🥈 |
| 49 | David Jones | 67.5kg | VIII | 1979 | San Juan, PUR | 🥈 |
| 50 | Thomas Hirtz | 82.5kg | VIII | 1979 | San Juan, PUR | 🥈 |
| 51 | Guy Carlton | 100kg | VIII | 1979 | San Juan, PUR | 🥈 |
| 52 | Mark Cameron | 110kg | VIII | 1979 | San Juan, PUR | 🥇 |
| 53 | Charles Nootens | 110kg | VIII | 1979 | San Juan, PUR | 🥉 |
| 54 | Thomas Stock | +110kg | VIII | 1979 | San Juan, PUR | 🥇 |
| 55 | Cal Schake | 75kg | IX | 1983 | Caracas, VEN | 🥉 |
| 56 | Michael Davis | 110kg | IX | 1983 | Caracas, VEN | 🥇 |
| 57 | Roberto Urrutia | 75kg | X | 1987 | Indianapolis, USA | 🥉 |
| 58 | Thomas Calandro | 90kg | X | 1987 | Indianapolis, USA | 🥉 |
| 59 | Ken Clark | 100kg | X | 1987 | Indianapolis, USA | 🥈 |
| 60 | Bret Brian | 100kg | X | 1987 | Indianapolis, USA | 🥉 |
| 61 | Richard Schutz | 110kg | X | 1987 | Indianapolis, USA | 🥈 |
| 62 | Robert Jones | 110kg | X | 1987 | Indianapolis, USA | 🥉 |
| 63 | Mario Martinez | +110kg | X | 1987 | Indianapolis, USA | 🥇 |
| 64 | John Bergman | +110kg | X | 1987 | Indianapolis, USA | 🥈 |
| 65 | Bryan Jacob | 60kg | XI | 1991 | Havana, CUB | 🥈 |
| 66 | Dean Goad | 82.5kg | XI | 1991 | Havana, CUB | 🥉 |
| 67 | Bret Brian | 90kg | XI | 1991 | Havana, CUB | 🥈 |
| 68 | Paul Flescher | 90kg | XI | 1991 | Havana, CUB | 🥉 |
| 69 | Wes Barnett | 100kg | XI | 1991 | Havana, CUB | 🥈 |
| 70 | Richard Schutz | 110kg | XI | 1991 | Havana, CUB | 🥈 |
| 71 | Mario Martinez | +110kg | XI | 1991 | Havana, CUB | 🥈 |
| 72 | Jeff Michaels | +110kg | XI | 1991 | Havana, CUB | 🥉 |
| 73 | Bryan Jacob | 59kg | XII | 1995 | Mar del Plata, ARG | 🥈 |
| 74 | Tim McRae | 70kg | XII | 1995 | Mar del Plata, ARG | 🥉 |
| 75 | Tomas Gough | 91kg | XII | 1995 | Mar del Plata, ARG | 🥉 |
| 76 | Peter Kelley | 99kg | XII | 1995 | Mar del Plata, ARG | 🥉 |
| 77 | Wes Barnett | 108kg | XII | 1995 | Mar del Plata, ARG | 🥇 |
| 78 | Mark Henry | +108kg | XII | 1995 | Mar del Plata, ARG | 🥈 |
| 79 | Mario Martinez | +108kg | XII | 1995 | Mar del Plata, ARG | 🥉 |
| 80 | Oscar Chaplin III | 77kg | XIII | 1999 | Winnipeg, CAN | 🥉 |
| 81 | Tim McRae | 85kg | XIII | 1999 | Winnipeg, CAN | 🥈 |
| 82 | Wes Barnett | 105kg | XIII | 1999 | Winnipeg, CAN | 🥉 |
| 83 | Shane Hamman | +105kg | XIII | 1999 | Winnipeg, CAN | 🥇 |
| 84 | Tara Nott | 48kg | XIII | 1999 | Winnipeg, CAN | 🥇 |
| 85 | Robin Goad | 53kg | XIII | 1999 | Winnipeg, CAN | 🥇 |
| 86 | Lea Foreman | 69kg | XIII | 1999 | Winnipeg, CAN | 🥇 |
| 87 | Cara Heads | 75kg | XIII | 1999 | Winnipeg, CAN | 🥈 |
| 88 | Cheryl Haworth | +75kg | XIII | 1999 | Winnipeg, CAN | 🥇 |
| 89 | Chad Vaughn | 77kg | XIV | 2003 | Santo Domingo, DOM | 🥇 |
| 90 | Tara Nott | 48kg | XIV | 2003 | Santo Domingo, DOM | 🥇 |
| 91 | Casey Burgener | +105kg | XV | 2007 | Rio de Janeiro, BRA | 🥉 |
| 92 | Melanie Roach | 53kg | XV | 2007 | Rio de Janeiro, BRA | 🥉 |
| 93 | Natalie Woolfolk | 63kg | XV | 2007 | Rio de Janeiro, BRA | 🥉 |
| 94 | Emmy Vargas | +75kg | XV | 2007 | Rio de Janeiro, BRA | 🥉 |
| 95 | Chad Vaughn | 77kg | XVI | 2011 | Guadalajara, MEX | 🥉 |
| 96 | Kendrick Farris | 85kg | XVI | 2011 | Guadalajara, MEX | 🥉 |
| 97 | Donald Shankle | 105kg | XVI | 2011 | Guadalajara, MEX | 🥉 |
| 98 | Kendrick Farris | 94kg | XVII | 2015 | Toronto CAN | 🥇 |
| 99 | Norik Vardanian | 94kg | XVI | 2015 | Toronto CAN | 🥈 |
| 100 | Harrison Maurus | 81kg | XVII | 2019 | Lima, PER | 🥉 |
| 101 | Mattie Sasser | 64kg | XVII | 2019 | Lima, PER | 🥈 |
| 102 | Katherine Nye | 71kg | XVII | 2019 | Lima, PER | 🥉 |
| 103 | Wes Kitts | 109kg | XVII | 2019 | Lima, PER | 🥇 |
| 104 | Sarah Robles | +87kg | XVII | 2019 | Lima, PER | 🥇 |