Mackay State High School enters into a number of sporting competitions that students can participate in. These include but are not limited to Interschool Netball, Interschool Rugby League, Karyn Murphy Cup, Aaron Payne Cup, Cowboys Challege Cup, Interschool Hockey competitions, Futsal competitions, Interschool Football. Students are given the opportunity to participate in Mackay District School Sport which can lead to Capricornia Representation or State Level Sport