The Central American and Caribbean Athletic Confederation (CACAC) is a confederation governing body of athletics for national governing bodies and multi-national federations within Central America and the Caribbean. Membership of the Confederation is open to all national governing bodies for the sport of athletics in any country or territory in the region which is affiliated to World Athletics. Other countries may be granted observer status and may, with permission of the Congress, be allowed to compete in open championships. They will, however, not be entitled to vote at the Congress.

The Central American and Caribbean Games are a multi-sport regional championship event, held quadrennial, typically in the middle (even) year between Summer Olympics. The games are for 32 countries and 5 territories in Central America, the Caribbean, Mexico, and the South American Caribbean countries of Colombia, Guyana, Suriname, and Venezuela.