The GSSE was first launched upon initiative by the NOC in Malta in 1985. The Association then launched the first edition of the Games, which was organised by San Marino. Since then, the multi-sports event has been reserved for eight countries of our continent with less than a million inhabitants and has taken place regularly every two years, with growing success. The countries that take part in the Games are Monaco, Cyprus, Andorra, Malta, Luxembourg, Iceland, Liechtenstein, San Marino and Monte Carlo, all of whom have a population of less than one million people. Cyprus is the only exception however, but its population was below a million in 1984.
The Games feature a core of six individual sports and two team sports. Each organising committee may add a maximum of two other Olympic sports or one Olympic sport and one non-Olympic sport.
In 2023, Malta will be presenting a sports programme that includes athletics, basketball, judo, rugby 7s, sailing, shooting, squash, swimming, table tennis and tennis and the Games will take place between 28 May and 3 June, 2023.