Football is one of the most popular sports in the programme. In all regions an 11-a-side league runs annually.
In 11-aside competition Special Olympics football follow FIFA rules. However, the length of halves, substitution and overtime rules are defined by each Special Olympics Programme. In 7-aside football matches, some rule variations include: kick-ins from the touch line, throw-ins by the goalkeeper; throw-ins by goalkeepers cannot touch the other side of the half field until touched by a player first, and there are no off-sides.