Selanjutnya tuan rumah Jepang menempati peringkat kedua klasemen akhir medali Asian Games 2026 dengan total 269 medali yang terdiri atas 83 emas, 95 perak, dan 91 perunggu.
Posisi ketiga klasemen akhir medali Asian Games 2026 dihuni oleh Korea Selatan yang total mengumpulkan 150 medali dengan rincian 39 emas, 95 perak, dan 68 perunggu.
Berikut klasemen akhir medali Asian Games 2026 dilansir dari website resmi, Minggu (4/10):
| No | Negara | Emas | Perak | Perunggu | Total |
| 1 | China | 169 | 89 | 83 | 341 |
| 2 | Jepang | 83 | 95 | 91 | 269 |
| 3 | Korea Selatan | 39 | 43 | 68 | 150 |
| 4 | India | 21 | 27 | 37 | 85 |
| 5 | Uzbekistan | 21 | 25 | 24 | 70 |
| 6 | Iran | 19 | 18 | 15 | 52 |
| 7 | Thailand | 18 | 13 | 21 | 52 |
| 8 | Kazakhstan | 12 | 24 | 54 | 84 |
| 9 | Hong Kong | 11 | 19 | 24 | 54 |
| 10 | Bahrain | 11 | 5 | 6 | 22 |
| 11 | Malaysia | 9 | 7 | 16 | 32 |
| 12 | Korea Utara | 7 | 13 | 9 | 29 |
| 13 | Uni Emirat Arab | 7 | 5 | 1 | 13 |
| 14 | Qatar | 6 | 6 | 6 | 18 |
| 15 | Taiwan | 5 | 17 | 33 | 55 |
| 16 | Indonesia | 5 | 11 | 23 | 39 |
| 17 | Filipina | 4 | 9 | 16 | 29 |
| 18 | Arab Saudi | 4 | 3 | 10 | 17 |
| 19 | Kuwait | 4 | 1 | 4 | 9 |
| 20 | Vietnam | 3 | 3 | 19 | 25 |
| 21 | Singapura | 2 | 9 | 7 | 18 |
| 22 | Tajikistan | 2 | 5 | 9 | 16 |
| 23 | Yordania | 2 | 3 | 6 | 11 |
| 24 | Myanmar | 2 | 1 | 2 | 5 |
| 25 | Makau | 1 | 4 | 1 | 6 |
| 26 | Kyrgyzstan | 1 | 3 | 10 | 14 |
| 27 | Mongolia | 1 | 1 | 13 | 15 |
| 28 | Sri Lanka | 1 | 1 | 1 | 3 |
| 29 | Pakistan | 0 | 2 | 8 | 10 |
| 30 | Irak | 0 | 2 | 3 | 5 |
| 31 | Turkmenistan | 0 | 2 | 0 | 2 |
| 32 | Afganistan | 0 | 1 | 2 | 3 |
| 33 | Lebanon | 0 | 1 | 2 | 3 |
| 34 | Oman | 0 | 1 | 1 | 2 |
| 35 | Kamboja | 0 | 0 | 4 | 4 |
| 36 | Nepal | 0 | 0 | 2 | 2 |
| 37 | Bangladesh | 0 | 0 | 1 | 1 |
| 38 | Burnei Darussalam | 0 | 0 | 1 | 1 |
| 39 | Laos | 0 | 0 | 1 | 1 |
| 40 | Suriah | 0 | 0 | 1 | 1 |
