The Mediterranean Cup was resurrected in 2002 as a one-off match between Lebanon and France. It was played at Tripoli International Stadium on November 2, 2002 in front of a crowd of 9,713. Lebanon defeated France 36-6. In 2003 and 2004, it was expanded to again become a four team tournament.
On 2 October 2005 it was announced that the 2005 tournament was cancelled. According to Lebanon Rugby League official Danny Kazandjian: "It is with a sense of profound disappointment that we have had to face harsh reality and cancel the Mediterranean Cup, just one day before our official launch press conference at the Searock Hotel in Raouché, Beirut, and just nine days before Lebanon was due to take on Serbia in the Olympic Stadium, Tripoli. The Lebanese rugby league feels extremely let down by certain parties."
| Year | Host | Winner | Final Score | Runner-up | Final venue |
|---|---|---|---|---|---|
| 1999 | France | 104–0 | Stade Albert-Domec, Carcassonne | ||
| 2002 | Lebanon | 36–6 | International Olympic Stadium, Tripoli | ||
| 2003 | Lebanon | 26–18 | International Olympic Stadium, Tripoli | ||
| 2004 | Lebanon | 42–14 | International Olympic Stadium, Tripoli |