It was only in 1870 that fistball was introduced to Germany, led by Georg Weber. The sport was mainly played by gymnasts and was soon seen as a gymnastic sport. Fistball was first presented in 1885 at the German Gymnastics Festival in Dresden. In 1894, Georg Weber, along with Dr. Heinrich Schnell, drafted the first German rules that outlined a sport with competitive elements. The play and scoring however differed significantly from fistball as it is known today. During this time the sport spread to the surrounding, mainly German-speaking, neighboring countries, and German emigrants also spread the sport in all continents, particularly in South America and West Africa. Fistball was first introduced to the United States in 1911 by high school teacher Christopher Carlton who had experienced it first hand on a summer vacation to Italy. At the 1913 German Gymnastics Festival in Leipzig, the first German men's championships were held, where LLB Frankfurt won against 1879 MTV Munich, winning 114:101. Due to the First World War, no German Championships were held between 1914 and 1920. In 1921, the first women's fistball championship was held, with Hamburger Turners haft emerging victorious against TV Krefeld, winning 91:90. Fistball, while still a game affiliated to the Gymnastics Association, began to grow independently. In 1927, almost 12,000 teams played organized fistball in Germany. Due to the rapid spread of the fistball game and improved game skills, further changes in the rules were necessary, with a greater focus on winning points through forcing errors. This style of play was more athletic and dynamic, and tactics began to change significantly.

The development of fistball was halted by the Second World War. It was not until 1947 that regular German Championships were able to be carried out. In order to encourage development and improve performance, the International Fistball Association (IFA) was founded in 1960, and is now the umbrella organization of all national fistball organizations worldwide. The first IFA World Championships for men were held in Linz, Austria in 1968, with West Germany winning gold. The first IFA World Championships for women were held in Buenos Aires, Argentina in 1994, with Germany winning gold. Both tournaments are currently held quadrennially. The IFA, as the world governing body for Fistball, is a recognized international federation by GAISF.