At present, 26 countries participate in the games:
Africa: Algeria, Egypt, Libya, Morocco and Tunisia
Asia: Lebanon and Syria.

Europe:  Albania, Andorra, Bosnia and Herzegovina, Croatia, Cyprus, France, Greece, Italy, Kosovo, Malta, Monaco, Montenegro, North Macedonia, Portugal, San Marino, Serbia, Slovenia, Spain and Turkey.

Kosovo was accepted as a member of the International Committee of Mediterranean Games in October 2015 and participated for the first time in the 2018 Mediterranean Games in Tarragona, Spain.

Of all the National Olympic Committees within the Olympic Movement bordering the Mediterranean Sea, Israel and Palestine have not participated in the games, nor has Great Britain who represents the British Overseas Territory of Gibraltar.

In the case of Israel, Allen Guttman in The Games Must Go On argued that Israel's exclusion is both antisemitic and politically motivated due to antagonism towards Israel by the participating Arab nations.
The IOC's Avery Brundage was not supportive of Israel's desire to compete, saying: "I cannot understand why anyone wants to go where he is not wanted".
The International Amateur Athletics Federation pushed the issue at the 1959 Mediterranean Games in Beirut by refusing to grant permission to hold an athletics competition unless Israel were allowed to compete.
Lebanese games organizer Gabriel Gemayel conceded to this, but sidestepped the ruling by holding a parallel Lebanese Games comprising athletics events between the present nations alongside the official Mediterranean Games competitions.

There are countries not bordering the Mediterranean Sea which nonetheless participate: Portugal, Andorra, Kosovo, San Marino, Serbia and North Macedonia.

The Hellenic Olympic Committee has suggested that nine more countries that do not satisfy geographic criteria could be allowed to participate, such as Bulgaria, and some Arab countries such as Jordan and Iraq.
Portugal competed in the 2018 Mediterranean Games after a decision which approved Portugal as effective National Olympic Committee.
At present, 26 countries participate in the games:
Africa: Algeria, Egypt, Libya, Morocco and Tunisia
Asia: Lebanon and Syria.
Europe:  Albania, Andorra, Bosnia and Herzegovina, Croatia, Cyprus, France, Greece, Italy, Kosovo, Malta, Monaco, Montenegro, North Macedonia, Portugal, San Marino, Serbia, Slovenia, Spain and Turkey.
Kosovo was accepted as a member of the International Committee of Mediterranean Games in October 2015 and participated for the first time in the 2018 Mediterranean Games in Tarragona, Spain.
Of all the National Olympic Committees within the Olympic Movement bordering the Mediterranean Sea, Israel and Palestine have not participated in the games, nor has Great Britain who represents the British Overseas Territory of Gibraltar.
In the case of Israel, Allen Guttman in The Games Must Go On argued that Israel's exclusion is both antisemitic and politically motivated due to antagonism towards Israel by the participating Arab nations. The IOC's Avery Brundage was not supportive of Israel's desire to compete, saying: "I cannot understand why anyone wants to go where he is not wanted". The International Amateur Athletics Federation pushed the issue at the 1959 Mediterranean Games in Beirut by refusing to grant permission to hold an athletics competition unless Israel were allowed to compete. Lebanese games organizer Gabriel Gemayel conceded to this, but sidestepped the ruling by holding a parallel Lebanese Games comprising athletics events between the present nations alongside the official Mediterranean Games competitions.
There are countries not bordering the Mediterranean Sea which nonetheless participate: Portugal, Andorra, Kosovo, San Marino, Serbia and North Macedonia.
The Hellenic Olympic Committee has suggested that nine more countries that do not satisfy geographic criteria could be allowed to participate, such as Bulgaria, and some Arab countries such as Jordan and Iraq. Portugal competed in the 2018 Mediterranean Games after a decision which approved Portugal as effective National Olympic Committee.
Mediterranean Games