More than 150 competitors converged on the Illawarra Hockey Stadium for the 15th annual Koori Mini Olympics on Wednesday, October 23.
Quoits, frisbee, javelin and a modern-day version of the Aboriginal throwing game kee'an - which traditionally uses an animal bone - were among the events battled out by nine teams from across NSW.
The event evolved from Aunty Jean's program, which was established in the region in 2004 to improve health outcomes for Aboriginal and Torres Strait Islander people.
It's since been expanded to several other local health districts including the Eurobodalla Shire.
Participants meet weekly for exercise, health checks and education sessions.
Eva Smith of Moruya has been involved in the program for six years.
"It really gives you a boost," she said.
"It's great being in a group and listening to health workers' talks - it's very beneficial."
The program aims to help participants manage chronic and complex health conditions, and prevent hospitalisations.
It's a family affair for Nowra resident Anna Starr, who attends the program - and the games - with her children Denise Cram and Stewart Kinghorn.
"When I first walked into the Aunty Jean program I thought it was a lot of rubbish, and I told them that," Ms Starr said.
"But I reckon it's saved my life. I can't read and write but they've showed me how to manage my tablets; and I now get up and do things and look after myself."
Ms Cram said after seeing how her mother's health had improved, she too joined the program - which runs in Nowra, Berkeley and UIladulla.
Aboriginal Chronic Care Unit health education officer Tracey Gleaves said the program offered a holistic approach to health and well-being.
"The Aboriginal and Torres Strait Islander population has higher rates of chronic illness such as diabetes, heart disease and respiratory conditions," she said.
"So this program helps address those health issues as well as cultural issues."
In its 15th year, the games returned to its birthplace in the Illawarra after being hosted at a variety of locations statewide including Wagga Wagga.