Football competitions at the 2022 South American Games in Asuncion, Paraguay were held between 4 and 12 October 2022 at the Complejo de Fútbol located within the cluster in Luque, a sub-venue apart from Asunción. Chile and Paraguay were the defending champions of the South American Games men's and women's football events. Both teams won their respective title in the South American Games' previous edition. Paraguay and Venezuela won the gold medal in the men's and women's events respectively.