A founding nation and consistent leader since 1976, the United States excels across the spectrum of winter Para sports, hosting in Salt Lake City 2002. Lillehammer 1994 brought the most golds, 24, while Albertville 1992 yielded the highest total medal count of 45.

Alpine skiing boasts 258 medals while Nordic skiing adds 54 medals. Ice hockey is exceptionally strong with five golds, including the last four consecutive titles. Snowboard also yields consistent success.

At Beijing 2022, 65 athletes secured 20 total medals, with six of them being gold. Oksana Masters delivered an outstanding performance, winning seven Nordic skiing medals (three gold, four silver) to become the most decorated US Winter Paralympian with fourteen career winter medals. The Para ice hockey team won gold again, while snowboarder Brenna Huckaby and biathlete Kendall Gretsch also topped the podium.