Purpose. The purpose of the study was to examine game efficiency of elite wheelchair rugby players in consideration of International Wheelchair Rugby Federation (IWRF) classification during the 2008 Paralympic Games played according to the old wheelchair rugby rules.Basic procedures. A group of 77 athletes representing 8 national teams participated in the study. Each team played 5 games for 32 min each. Athletes who played for more than 8 min in total at the 2008 Paralympics qualified for the study. The seven IWRF player point classes were collapsed into four groups. The game efficiency analysis was based on the IWRF Statistical Reports. The following six game efficiency parameters were analyzed: played time (T), sum of all points scored (PT), assist passes (AS), assist blocks (AB), turnovers (TO) and steals (ST).Main findings. The major finding of the study was that most differences in PT, AS, AB, TO and ST were found among all the examined groups (I-IV), except groups I and II. The played time (T) was not sensitive enough to identify significant differences among all the groups. This indicates that played time in the context of substitutions limited by classification point requirements does not reflect the differences between player classes.Conclusions. Generally, there was a tendency for highpoint class players to perform better. The study findings point to the importance of analysis of game efficiency of elite wheelchair rugby players with regard to their IWRF classification during tournaments played according to the new wheelchair rugby rules.