The Central American Handball Trophy was a men's international handball competition that was governed by PATHF. It was a competition for men's developing handball nations of Central America. It also served as a qualifying tournament for the Pan American Handball Trophy. The first edition was held in 2012 in Nicaragua. However, it was held only twice, last in 2014, and in 2018, IHF suspended PATHF.
|Edition||Year||Host||Final||3. place play-off||Semi-finals|
|1.||2012||Nicaragua||Guatemala - Costa Rica 31-24||Nicaragua - El Salvador 24-20||Guatemala - El Salvador 32-10
Costa Rica - Nicaragua 32-18
|2.||2014||El Salvador||Guatemala - Honduras 34-18||Nicaragua - El Salvador 35-28||Guatemala - Nicaragua 39-20
Honduras - El Salvador 26-20