Gold, Silber und Bronze wurde bei den Paralympics in Paris in insgesamt 549 Wettbewerben vergeben.
Bei Deutschland ist die Gesamtzahl der Medaillen zwar wieder gestiegen, die Gold-Bilanz ist mit zehn ersten Plätzen jedoch historisch schlecht.
In Tokio belegte Team D noch Platz 12, nun sprang immerhin der 11. Rang heraus. 49-Mal Edelmetall wurde es am Ende, was trotz der Verbesserung das zweitschlechteste Abschneiden seit der Wiedervereinigung bedeutet.
Medaillenspiegel der Paralympics, finaler Stand: Auf diesem Platz steht Deutschland
| Platz | Land | Gold | Silber | Bronze | Gesamt |
| 1 | China | 94 | 76 | 50 | 220 |
| 2 | Großbritannien | 49 | 44 | 31 | 124 |
| 3 | USA | 36 | 42 | 27 | 105 |
| 4 | Niederlande | 27 | 17 | 12 | 56 |
| 5 | Brasilien | 25 | 26 | 38 | 89 |
| 6 | Italien | 24 | 15 | 32 | 71 |
| 7 | Ukraine | 22 | 28 | 32 | 82 |
| 8 | Frankreich | 19 | 28 | 28 | 75 |
| 9 | Australien | 18 | 17 | 28 | 63 |
| 10 | Japan | 14 | 10 | 17 | 41 |
| 11 | Deutschland | 10 | 14 | 25 | 49 |
| 12 | Kanada | 10 | 9 | 10 | 29 |
| 13 | Usbekistan | 10 | 9 | 7 | 26 |
| 14 | Iran | 8 | 10 | 7 | 25 |
| 15 | Schweiz | 8 | 8 | 5 | 21 |
| 16 | Polen | 8 | 6 | 9 | 23 |
| 17 | Spanien | 7 | 11 | 22 | 40 |
| 18 | Indien | 7 | 9 | 13 | 29 |
| 19 | Kolumbien | 7 | 7 | 14 | 28 |
| 20 | Belgien | 7 | 4 | 3 | 14 |
| 21 | Thailand | 6 | 11 | 13 | 30 |
| 22 | Südkorea | 6 | 10 | 14 | 30 |
| 23 | Türkei | 6 | 10 | 12 | 28 |
| 24 | Kuba | 6 | 3 | 1 | 10 |
| 25 | Algerien | 6 | 0 | 5 | 11 |
| 26 | Ungarn | 5 | 6 | 4 | 15 |
| 27 | Tunesien | 5 | 3 | 3 | 11 |
| 28 | Aserbaidschan | 4 | 2 | 5 | 11 |
| 29 | Israel | 4 | 2 | 4 | 10 |
| 30 | Mexiko | 3 | 6 | 8 | 17 |
| 31 | Marokko | 3 | 6 | 6 | 15 |
| 32 | Hongkong | 3 | 4 | 1 | 8 |
| 33 | Griechenland | 3 | 3 | 7 | 13 |
| 34 | Venezuela | 3 | 2 | 1 | 6 |
| 35 | Slowakei | 3 | 2 | 0 | 5 |
| 36 | Lettland | 3 | 1 | 0 | 4 |
| 37 | Argentinien | 2 | 3 | 8 | 13 |
| 38 | Dänemark | 2 | 3 | 5 | 10 |
| 39 | Kasachstan | 2 | 3 | 4 | 9 |
| 40 | Nigeria | 2 | 3 | 2 | 7 |
| 41 | Ägypten | 2 | 2 | 3 | 7 |
| 42 | Malaysia | 2 | 2 | 1 | 5 |
| 43 | Portugal | 2 | 1 | 4 | 7 |
| 44 | Äthiopien | 2 | 1 | 0 | 3 |
| Singapur | 2 | 1 | 0 | 3 | |
| 46 | Südafrika | 2 | 0 | 4 | 6 |
| 47 | Ecuador | 2 | 0 | 2 | 4 |
| 48 | Jordanien | 2 | 0 | 1 | 3 |
| 49 | Costa Rica | 2 | 0 | 0 | 2 |
| 50 | Indonesien | 1 | 8 | 5 | 14 |
| 51 | Georgien | 1 | 4 | 4 | 9 |
| Neuseeland | 1 | 4 | 4 | 9 | |
| 53 | Tschechien | 1 | 4 | 3 | 8 |
| 54 | Norwegen | 1 | 3 | 3 | 7 |
| 55 | Irland | 1 | 3 | 2 | 6 |
| Serbien | 1 | 3 | 2 | 6 | |
| 57 | Mongolei | 1 | 3 | 0 | 4 |
| 58 | Irak | 1 | 1 | 3 | 5 |
| 59 | Kroatien | 1 | 1 | 2 | 4 |
| 60 | Chile | 1 | 0 | 5 | 6 |
| 61 | Kuwait | 1 | 0 | 1 | 2 |
| Namibia | 1 | 0 | 1 | 2 | |
| Rumänien | 1 | 0 | 1 | 2 | |
| Slowenien | 1 | 0 | 1 | 2 | |
| 65 | Bulgarien | 1 | 0 | 0 | 1 |
| Peru | 1 | 0 | 0 | 1 | |
| Saudi-Arabien | 1 | 0 | 0 | 1 | |
| 68 | Taiwan | 0 | 3 | 2 | 5 |
| 69 | Österreich | 0 | 3 | 1 | 4 |
| 70 | Bosnien-Herzegowina | 0 | 2 | 0 | 2 |
| 71 | Finnland | 0 | 1 | 3 | 4 |
| 72 | Schweden | 0 | 1 | 2 | 3 |
| 73 | Moldau | 0 | 1 | 1 | 2 |
| Zypern | 0 | 1 | 1 | 2 | |
| 75 | Kenia | 0 | 1 | 0 | 1 |
| Sri Lanka | 0 | 1 | 0 | 1 | |
| Trinidad & Tobago | 0 | 1 | 0 | 1 | |
| 78 | Refugee Olympic Athletes | 0 | 0 | 2 | 2 |
| 79 | Litauen | 0 | 0 | 1 | 1 |
| Luxemburg | 0 | 0 | 1 | 1 | |
| Mauritius | 0 | 0 | 1 | 1 | |
| Montenegro | 0 | 0 | 1 | 1 | |
| Nepal | 0 | 0 | 1 | 1 | |
| Pakistan | 0 | 0 | 1 | 1 | |
| Vietnam | 0 | 0 | 1 | 1 | |
| 86 | Afghanistan | 0 | 0 | 0 | 0 |
| Angola | 0 | 0 | 0 | 0 | |
| Armenien | 0 | 0 | 0 | 0 | |
| Aruba | 0 | 0 | 0 | 0 | |
| Bahrain | 0 | 0 | 0 | 0 | |
| Bangladesch | 0 | 0 | 0 | 0 | |
| Barbados | 0 | 0 | 0 | 0 | |
| Benin | 0 | 0 | 0 | 0 | |
| Bermuda | 0 | 0 | 0 | 0 | |
| Bhutan | 0 | 0 | 0 | 0 | |
| Botswana | 0 | 0 | 0 | 0 | |
| Burkina Faso | 0 | 0 | 0 | 0 | |
| Burundi | 0 | 0 | 0 | 0 | |
| Dom. Republik | 0 | 0 | 0 | 0 | |
| DR Kongo | 0 | 0 | 0 | 0 | |
| El Salvador | 0 | 0 | 0 | 0 | |
| Elfenbeinküste | 0 | 0 | 0 | 0 | |
| Eritrea | 0 | 0 | 0 | 0 | |
| Estland | 0 | 0 | 0 | 0 | |
| Fidschi | 0 | 0 | 0 | 0 | |
| Gabun | 0 | 0 | 0 | 0 | |
| Gambia | 0 | 0 | 0 | 0 | |
| Ghana | 0 | 0 | 0 | 0 | |
| Grenada | 0 | 0 | 0 | 0 | |
| Guatemala | 0 | 0 | 0 | 0 | |
| Guinea | 0 | 0 | 0 | 0 | |
| Guinea-Bissau | 0 | 0 | 0 | 0 | |
| Haiti | 0 | 0 | 0 | 0 | |
| Honduras | 0 | 0 | 0 | 0 | |
| Island | 0 | 0 | 0 | 0 | |
| Jamaika | 0 | 0 | 0 | 0 | |
| Jemen | 0 | 0 | 0 | 0 | |
| Jungfern-Inseln | 0 | 0 | 0 | 0 | |
| Kambodscha | 0 | 0 | 0 | 0 | |
| Kamerun | 0 | 0 | 0 | 0 | |
| Kapverdische Inseln | 0 | 0 | 0 | 0 | |
| Katar | 0 | 0 | 0 | 0 | |
| Kirgisistan | 0 | 0 | 0 | 0 | |
| Kiribati | 0 | 0 | 0 | 0 | |
| Kongo | 0 | 0 | 0 | 0 | |
| Kosovo | 0 | 0 | 0 | 0 | |
| Laos | 0 | 0 | 0 | 0 | |
| Lesotho | 0 | 0 | 0 | 0 | |
| Libanon | 0 | 0 | 0 | 0 | |
| Liberia | 0 | 0 | 0 | 0 | |
| Libyen | 0 | 0 | 0 | 0 | |
| Macau | 0 | 0 | 0 | 0 | |
| Malawi | 0 | 0 | 0 | 0 | |
| Malediven | 0 | 0 | 0 | 0 | |
| Mali | 0 | 0 | 0 | 0 | |
| Malta | 0 | 0 | 0 | 0 | |
| Mosambik | 0 | 0 | 0 | 0 | |
| Myanmar | 0 | 0 | 0 | 0 | |
| Nicaragua | 0 | 0 | 0 | 0 | |
| Niger | 0 | 0 | 0 | 0 | |
| Nordmazedonien | 0 | 0 | 0 | 0 | |
| Oman | 0 | 0 | 0 | 0 | |
| Palästina | 0 | 0 | 0 | 0 | |
| Panama | 0 | 0 | 0 | 0 | |
| Papua-Neuguinea | 0 | 0 | 0 | 0 | |
| Paraguay | 0 | 0 | 0 | 0 | |
| Philippinen | 0 | 0 | 0 | 0 | |
| Puerto Rico | 0 | 0 | 0 | 0 | |
| Ruanda | 0 | 0 | 0 | 0 | |
| Salomonen | 0 | 0 | 0 | 0 | |
| Sambia | 0 | 0 | 0 | 0 | |
| São Tomé und Príncipe | 0 | 0 | 0 | 0 | |
| Senegal | 0 | 0 | 0 | 0 | |
| Sierra Leone | 0 | 0 | 0 | 0 | |
| Simbabwe | 0 | 0 | 0 | 0 | |
| Somalia | 0 | 0 | 0 | 0 | |
| St. Vincent/Grenadines | 0 | 0 | 0 | 0 | |
| Suriname | 0 | 0 | 0 | 0 | |
| Syrien | 0 | 0 | 0 | 0 | |
| Tansania | 0 | 0 | 0 | 0 | |
| Timor-Leste | 0 | 0 | 0 | 0 | |
| Togo | 0 | 0 | 0 | 0 | |
| Turkmenistan | 0 | 0 | 0 | 0 | |
| Uganda | 0 | 0 | 0 | 0 | |
| Uruguay | 0 | 0 | 0 | 0 | |
| VA Emirate | 0 | 0 | 0 | 0 | |
| Vanuatu | 0 | 0 | 0 | 0 | |
| Zentralafr. Republik | 0 | 0 | 0 | 0 |
