Chennai topped by winning 105 gold, 80 silver and 69 gold.
Chengalpattu took the second spot in the medals tally with 31 gold medals with 26 silver and 36 bronze medals.
Coimbatore ended with 23 gold, 40 silver and 39 bronze medals.
Salem was the biggest mover on the medals tally from the last edition as they jumped to fourth spot from 19th in 2023, winning 21 gold, 12 silver and 23 bronze.
The 2024 CM Trophy is one of the largest grassroots initiatives in the country and attracted over 33,000 participants from 38 districts.
This was the first time that all the 38 participating districts found a spot on the medals tally with Nilgiris taking the last spot.