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The Central and Western Zone, Cenwest was crowned the overall winners at the end of the 11th COESA Biennial Games held at Paa Joe Stadium, KNUST.
Cenwest won 15 gold medals, 9 silver medals, and 7 bronze medals from competing in six (6) sporting disciplines including Netball, Volleyball, Football, Table Tennis, Handball, and Athletics.
The Ashanti and Brong Ahafo Zone(ASHBA) grabbed the second placement with 13 gold medals, 9 silver medals, and 16 bronze medals.
Below is the table showing the zones, medals amassed, and their positions at the end of the COESA 2022 Games on Saturday, 26th November 2022.
| Zone | Gold | Silver | Bronze | Position |
| CENWEST | 15 | 09 | 07 | 1st |
| ASHBA | 13 | 09 | 16 | 2nd |
| EGA | 11 | 10 | 04 | 3rd |
| VOLTA | 03 | 02 | 10 | 4th |
| NORTHERN | 00 | 04 | 02 | 5th |
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