Handball has been a South Asian Games event since 2010 for men's and since 2016 for women's.
Pakistan is most successful team in men's handball event winning 2 gold and 1 silver medal, ahead of their arch rivals India. Pakistan won gold in the 2010 and 2019 edition of the South Asian Games beating India by 37–31 and 30–29 respectively.[1][2] In the 2016 edition, Pakistan lost to the hosts India, score being 32–31.[3]
In women's handball event, India is at top winning 2 gold medals.