China wrapped up the World Games in Chengdu on Sunday by topping the medals table with 36 golds, while the SAR finished the tournament with its best-ever result.
The hosts also bagged 17 silvers and 11 bronzes for a total of 64 medals.
Germany and Ukraine came in second and third, with the countries hauling 17 and 16 golds, respectively.
China grabbed multiple gold medals in events like gymnastics, wushu, sports climbing, billiards and freediving.
Team Hong Kong, China, meanwhile, took home three golds, two silvers and a bronze for their greatest Games to date, good for 28th in the medals table.
Karateka Grace Lau, wushu artists Lydia Sham and Chung Hei-tung secured the top medal, while another wushu artist Cheung Yat-lam and drone racer Kwan Chun-yan grabbed silver.
Wakesurfer Harry Cheng, meanwhile, won a bronze medal for the SAR.
At the 2022 Games in Birmingham in the United States, the SAR won one gold and four bronzes.
The World Games comprise sports that are not featured at the Olympics, and are usually held once every four years.
Karlsruhe, Germany is due to host the next edition in 2029.