Since 2017 there are international aquabike championships. It started with the long distance World Championships in Penticton, Canada. The first European Championships for middle distance aquabike took place in Ibiza in 2018. And in 2022 we will have the first Aquabike World Championships over the Olympic Distance as well. On this page we show you, which countries were the most successful in collecting gold, silver and bronze medals in World and European Championships.
Aquabike World Championships Medal Table
| Rank | Country |  |  |  |
| 1. | United States of America | 78 | 73 | 66 |
| 2. | United Kingdom | 68 | 70 | 54 |
| 3. | Australia | 36 | 40 | 31 |
| 4. | New Zealand | 30 | 23 | 17 |
| 5. | Germany | 27 | 23 | 22 |
| 6. | Spain | 17 | 23 | 23 |
| 7. | Canada | 13 | 9 | 13 |
| 8. | France | 9 | 7 | 1 |
| 9. | Austria | 7 | 8 | 5 |
| 10. | Denmark | 7 | 7 | 4 |
| 11. | Switzerland | 5 | 3 | 2 |
| 12. | Netherlands | 5 | 1 | 3 |
| 13. | Poland | 3 | 3 | 9 |
| 14. | Ireland | 3 | 3 | 5 |
| 15. | Brazil | 3 | 2 | 9 |
| 16. | South Africa | 3 | 1 | 5 |
| 17. | Mexico | 3 | 1 | 1 |
| 18. | Czechia | 3 | 0 | 1 |
| 19. | Belgium | 2 | 1 | 1 |
| 20. | Iceland | 2 | 0 | 0 |
| 21. | Slovakia | 1 | 1 | 2 |
| 22. | Greece | 1 | 1 | 1 |
| 23. | Norway | 1 | 1 | 1 |
| 24. | Egypt | 1 | 1 | 0 |
| 25. | Gibraltar | 1 | 1 | 0 |
| 26. | Finland | 1 | 0 | 0 |
| 27. | Romania | 1 | 0 | 0 |
| 28. | Ukraine | 1 | 0 | 0 |
| 29. | Sweden | 0 | 1 | 0 |
| 30. | Italy | 0 | 1 | 0 |
| 31. | Malta | 0 | 1 | 0 |
| 32. | Hungary | 0 | 0 | 2 |
| 33. | United Arab Emirates | 0 | 0 | 1 |
Aquabike European Championships Table
| Rank | Country | | | |
| 1. | United Kingdom | 66 | 57 | 67 |
| 2. | Germany | 27 | 30 | 18 |
| 3. | Spain | 23 | 20 | 19 |
| 4. | France | 14 | 10 | 3 |
| 5. | Austria | 13 | 10 | 7 |
| 6. | Belgium | 10 | 7 | 6 |
| 7. | Denmark | 7 | 3 | 4 |
| 8. | Switzerland | 7 | 2 | 1 |
| 9. | Ireland | 2 | 4 | 3 |
| 10. | Poland | 2 | 1 | 4 |
| 11. | Romania | 2 | 1 | 1 |
| 12. | Netherlands | 1 | 4 | 3 |
| 13. | Portugal | 1 | 2 | 0 |
| 14. | Czechia | 1 | 1 | 1 |
| 15. | Greece | 1 | 1 | 0 |
| 16. | Ukraine | 1 | 1 | 0 |
| 17. | Slovakia | 1 | 0 | 1 |
| 18. | Norway | 1 | 0 | 0 |
| 19. | Iceland | 1 | 0 | 0 |
| 20. | Hungary | 0 | 2 | 1 |
| 21. | Latvia | 0 | 2 | 0 |
| 22. | Italy | 0 | 1 | 2 |
| 23. | Liechtenstein | 0 | 1 | 0 |
| 24. | Mexico | 0 | 1 | 0 |
| 25. | Sweden | 0 | 1 | 0 |
| 26. | Slovenia | 0 | 0 | 1 |
| 27. | Malta | 0 | 0 | 1 |