The United States finished atop the medal table at the 2026 World Athletics U20 Championships in Eugene with 12 gold medals and 24 medals overall.
World Athletics' final table lists the host team with 12 gold, seven silver and five bronze medals after competition at Hayward Field from Aug. 5 through Aug. 9.
Kenya ranked second with four golds, three silvers and four bronzes for 11 total medals. Italy placed third in the ranking with three golds and two bronzes, five medals overall.
Jamaica ranked fourth with two golds and eight total medals. Australia and Ethiopia each recorded two golds, three silvers and one bronze and shared the next medal rank.
The ranking orders teams primarily by gold medals, then silver and bronze, rather than by total medals alone. That is why Italy's five-medal total ranked above Jamaica's eight.
On the final day, the U.S. men's 4x100-meter team ran 38.16. World Athletics reported it as a world U20 record with an asterisk, indicating the performance remains subject to the governing body's ratification process.
The final table is distinct from the placing table, which awards points for deeper finishes. This article reports medal rank and does not treat the two systems as interchangeable.
The result closes a championship Boho News previously covered at its opening. The medal table was updated shortly after the final session and provides the governing body's authoritative event-level count.