The 1991 European Aquatics Championships was a water sport competition hosted in Athens, Greece from 18–25 August.

  *   Host nation (Greece)

Rank	Nation	Gold	Silver	Bronze	Total
1	Soviet Union	16	7	2	25
2	Germany	7	12	11	30
3	Hungary	6	3	2	11
4	Denmark	4	0	2	6
5	France	3	5	3	11
6	Italy	2	4	11	17
7	Spain	2	2	1	5
8	Norway	2	0	0	2
9	Netherlands	1	3	6	10
10	Great Britain	1	2	2	5
11	Poland	1	2	1	4
12	Switzerland	1	1	1	3
13	Yugoslavia	1	0	0	1
14	Romania	0	4	1	5
15	Sweden	0	1	2	3
16	Czechoslovakia	0	1	0	1
	Greece*	0	1	0	1
18	Bulgaria	0	0	2	2
Totals (18 entries)		47	48	47	142

Event	Gold		Silver		Bronze
50 m freestyle	Nils Rudolph (GER)	22.33	Gennadiy Prigoda (URS)	22.44	Mike Fibbens (GBR)  Vladimir Tkacenko (URS)	22.72 22.72
100 m freestyle	Alexander Popov (URS)	49.18	Nils Rudolph (GER)	49.52	Giorgio Lamberti (ITA)	49.57
200 m freestyle	Artur Wojdat (POL)	1:48.10	Giorgio Lamberti (ITA)	1:48.15	Roberto Gleria (ITA)	1:48.74
400 m freestyle	Yevgeny Sadovyi (URS)	3:49.02	Artur Wojdat (POL)	3:49.09	Giorgio Lamberti (ITA)	3:50.46
1500 m freestyle	Jörg Hoffmann (GER)	15:02.57	Ian Wilson (GBR)	15:03.72	Sebastian Wiese (GER)	15:14.30
100 m backstroke	Martin López-Zubero (ESP)	55.30	Dirk Richter (GER)	56.04	Franck Schott (FRA)	56.29
200 m backstroke	Martin López-Zubero (ESP)	1:58.66	Dirk Richter (GER)  Vladimir Selkov (URS)	2:00.18 2:00.18
100 m breaststroke	Norbert Rózsa (HUN)	1:01.49	Adrian Moorhouse (GBR)	1:01.88	Gianni Minervini (ITA)	1:02.41
200 m breaststroke	Nick Gillingham (GBR)	2:12.55	Norbert Rózsa (HUN)	2:12.58	Sergio López (ESP)	2:13.40
100 m butterfly	Vladislav Kulikov (URS)	54.22	Martin López-Zubero (ESP)	54.30	Nils Rudolph (GER)	54.31
200 m butterfly	Franck Esposito (FRA)	1:59.59	Rafał Szukała (POL)	2:01.01	Christophe Bordeau (FRA)	2:01.25
200 m individual medley	Lars Sørensen (DEN)	2:02.63	Christian Gessner (GER)	2:02.66	Luca Sacchi (ITA)	2:02.93
400 m individual medley	Luca Sacchi (ITA)	4:17.81	Patrick Kühl (GER)	4:17.85	Christian Gessner (GER)	4:19.16
4 × 100 m freestyle relay	Soviet Union Pavel Khnykin Gennadiy Prigoda Venyamin Tayanovich Alexander Popov	3:17.11	Germany Silko Günzel Nils Rudolph Steffen Zesner Dirk Richter	3:18.31	Sweden Tommy Werner Göran Titus Anders Holmertz Göran Jansson	3:20.42
4 × 200 m freestyle relay	Soviet Union Dmitri Lepikov Vladimir Pyshnenko Venyamin Tayanovich Yevgeny Sadovyi	7:15.96	Italy Emanuele Idini Roberto Gleria Stefano Battistelli Giorgio Lamberti	7:18.30	Germany Steffen Zesner Uwe Daßler Christian Keller Jörg Hoffmann	7:19.13
4 × 100 m medley relay	Soviet Union Vladimir Selkov Dmitri Volkov Vladislav Kulikov Alexander Popov	3:40.68	France Franck Schott Cédric Penicaud Bruno Gutzeit Christophe Kalfayan	3:42.15	Hungary Tamás Deutsch Norbert Rózsa Péter Horváth Béla Szabados	3:42.35

Event	Gold		Silver		Bronze
50 m freestyle	Simone Osygus (GER)	25,80	Catherine Plewinski (FRA)	25,84	Inge de Bruijn (NED)	25,91
100 m freestyle	Catherine Plewinski (FRA)	56,20	Karin Brienesse (NED)	56,44	Simone Osygus (GER)	56,47
200 m freestyle	Mette Jacobsen (DEN)	2.00,29	Catherine Plewinski (FRA)	2.00,34	Luminiţa Dobrescu (ROM)	2.01,77
400 m freestyle	Irene Dalby (NOR)	4.11,63	Beatrice Câșlaru (ROM)	4.12,33	Cristina Sossi (ITA)	4.12,35
800 m freestyle	Irene Dalby (NOR)	8.32,08	Jana Henke (GER)	8.32,25	Cristina Sossi (ITA)	8.33,79
100 m backstroke	Krisztina Egerszegi (HUN)	1.00,31	Tünde Szabó (HUN)	1.01,11	Dagmar Hase (GER)	1.02,41
200 m backstroke	Krisztina Egerszegi (HUN)	2.06,62	Tünde Szabó (HUN)	2.11,42	Dagmar Hase (GER)	2.12,21
100 m breaststroke	Elena Roudkovskaya (URS)	1.09,05	Svetlana Bondarenko (URS)	1.09,99	Tanya Dangalakova (BUL)	1.10,12
200 m breaststroke	Elena Roudkovskaya (URS)	2.29,50	Beatrice Câșlaru (ROM)	2.32,00	Tanya Dangalakova (BUL)	2.32,09
100 m butterfly	Catherine Plewinski (FRA)	1.00,32	Inge de Bruijn (NED)	1.01,64	Therèse Lundin (SWE)	1.01,80
200 m butterfly	Mette Jacobsen (DEN)	2.12,87	Sabine Herbst (GER)	2.14,72	Berit Puggaard (DEN)	2.14,80
200 m individual medley	Daniela Hunger (GER)	2.15,53	Beatrice Câșlaru (ROM)	2.16,68	Marion Zoller (GER)	2.17,43
400 m individual medley	Krisztina Egerszegi (HUN)	4.39,78	Beatrice Câșlaru (ROM)	4.44,67	Ewa Synowska (POL)	4.47,92
4 × 100 m freestyle relay	Netherlands Diana van der Plaats Inge de Bruijn Marieke Mastenbroek Karin Brienesse	3.45,36	Germany Dagmar Hase Sylvia Gerasch Katrin Meissner Simone Osygus	3.45,54	Denmark Mette Nielsen Gitta Jensen Berit Puggaard Mette Jacobsen	3.46,36
4 × 200 m freestyle relay	Denmark Annette Poulsen Gitta Jensen Berit Puggaard Mette Jacobsen	8.05,90	Germany Dagmar Hase Manuela Stellmach Simone Osygus Heike Friedrich	8.10,26	Netherlands Ellen Elzerman Baukje Wiersma Diana van der Plaats Karin Brienesse	8.13,97
4 × 100 m medley relay	Soviet Union Natalya Krupskaya Elena Roudkovskaya Elena Kononenko Yevgeniya Yermakova	4.08,55	Germany Dagmar Hase Sylvia Gerasch Katrin Meissner Simone Osygus	4.10,10	Netherlands Ellen Elzerman Kira Bulten Inge de Bruijn Karin Brienesse	4.14,03

• Held in Terracina, Italy from 14–15 September.

Event	Gold		Silver		Bronze
5 km open water	Stefano Rubaudo (ITA)	1:06:51,7	Davide Giacchino (ITA)	1:07:22,3	Hans van Goor (NED)	1:07:38,4
25 km open water	Christof Wandratsch (GER)	5:46:26,2	Sergio Chiarandini (ITA)	5:56:50,2	Urs Kohlhaas (SUI)	5:58:50,1

Event	Gold		Silver		Bronze
5 km open water	Bea Berzlanovits (HUN)	1:13:51,2	Yvetta Hlaváčová (TCH)	1:14:13,4	Mara Data (ITA)	1:14:13,7
25 km open water	Eliane Fieschi (SUI)	6:38:58,8	Samantha Cavadini (SUI)	6:54:27,7	Rita Kovács (HUN)	6:57:29,5

Event	Gold		Silver		Bronze
1 m springboard	Andrey Semenyuk (URS)	395.19	Peter Böhler (GER)	383.76	Edwin Jongejans (NED)	359.64
3 m springboard	Albin Killat (GER)	639.45	Joakim Andersson (SWE)	597.03	Davide Lorenzini (ITA)	596.28
10 m platform	Vladimir Timoshinin (URS)	606.21	Dmitri Sautin (URS)	602.22	Bobby Morgan (GBR)	578.67

Event	Gold		Silver		Bronze
1 m springboard	Brita Baldus (GER)	282.54	Irina Lashko (URS)	269.52	Conny Schmalfuss (GER)	238.50
3 m springboard	Irina Lashko (URS)	524.97	Vera Ilyina (URS)	513.03	Brita Baldus (GER)	498.03
10 m platform	Yelena Miroshina (URS)	453.90	Inga Afonina (URS)	423.39	Ute Wetzig (GER)	382.47

Event	Gold		Silver		Bronze
Solo	Olga Sedakova (URS)	180.286	Christina Thalassinidou (GRE)	178.800	Anne Capron (FRA)	175.820
Duet	Anna Kozlova (URS)  Olga Sedakova (URS)	179.572	Anne Capron (FRA)  Céline Leveque (FRA)	174.729	Marjolijn Both (NED)  Tamara Zwart (NED)	173.351
Team competition	Soviet Union (URS) Vera Artyomova Elena Azarova Victoria Bashkaeva Elena Dolzhenko Anna Kozlova Gana Maximova Olga Pilipchuk Olga Sedakova	178.112	France (FRA) Anne Capron Marie Caranta Clarisse Chesneau Delphine Le Floch Celine Leveque Myriam Lignot Isabelle Manable Delphine Marechal	173.753	Italy (ITA) Giada Ballan Giovanna Burlando Manuela Carnini Paola Celli Simona Della Bella Roberta Farinelli Loredana Gentilezza Roberta Guidi	171.889

Event	Gold	Silver	Bronze
Team competition	Yugoslavia	Spain	Soviet Union

Event	Gold	Silver	Bronze
Team competition	Hungary	Netherlands	Italy

• Results on GBRSports
• "LEN European Championships Aquatic finalists" (PDF). Archived from the original (PDF) on 6 December 2020.