1904 Summer Olympics medal table

The 1904 Summer Olympics were held in St. Louis, Missouri, United States from July 1 to November 23, 1904, as part of the St. Louis World's Fair. A total of 651 athletes from 12 nations participated in 94 events in 16 sports at these games. However, only 42 events included athletes from countries other than the United States. This list includes medals awarded in each of those events, excluding those awarded in the sport of water polo, which is mentioned in the games reports for the 1904 Summer Olympics but which currently is not included in the International Olympic Committee's medal database. The United States won all three medals in that competition, with a New York team taking first place, a Chicago team taking second, and a team from Missouri taking third.

Nine of the twelve participating nations earned medals, in addition to two medals won by mixed teams. In the early Olympic Games, several team events were contested by athletes from multiple nations. Retroactively, the IOC created the designation "mixed team" (with the country code ZZX) to refer to these groups of athletes. During the 1904 games, athletes participating in mixed teams won medals in athletics and fencing. Some athletes won medals both individually and as part of a mixed team, so these medals are tabulated under different nations in the official counts.

The United States won the most gold (78), silver (82), and bronze (79) medals. Gold medals were awarded to event winners for the first time at the 1904 games. Prior to that, a silver medal was awarded to first-place finishers and a bronze medal to second-place finishers.