The Medway Games are organised by the Medway Council's Sports Development Team and the Medway 2012 team in partnership with Greenacre School Sport Partnership and Howard School Sport Partnership, and with the support of the governing bodies of sport, local sports clubs, local business and Medway leisure facilities. Currently included in the Medway Games are:

• Mini Youth Games series - (primary school programme);
• Medway Youth Games series - (secondary school programme);
• Disability Youth Games – summer and winter games;
• Medway Community Games - (Adult 16+ programme);
• Medway Business Games.