Wheelchair curling made its debut at the 2006 Winter Paralympics in Turin, Italy, featuring a mixed team event that involves four athletes comprised of both genders. 

Similar to curling, players take turns throwing stones down a sheet of ice with the goal of landing in the center of the target, called the house, to score points. Teams play "ends," which are rounds where each team throws their respective stones before scoring and resetting the curling stones thrown for the next end.

Scoring takes place for the team that has the stone closest to the center of the house, called the tee. A team earns one point per stone in the house closer to the tee than any opponent's stone, which makes it possible to score multiple points in an end. The team with the most amount of points after eight ends wins the match. If there is a tie, teams will play extra ends until the first team scores. The team that most recently scored in an end delivers the first stone in the following end, giving the other team the "hammer" or last stone thrown in an end, considered an advantage for scoring.

Unlike in curling, there is no sweeping in wheelchair curling, thus requiring pinpoint accuracy, precision and a different strategy by athletes to curl stones into the house without any secondary help. Athletes also use a delivery stick (not permitted in Winter Olympic curling) to deliver stones into the house from a stationary wheelchair. Stones also must start their delivery between the wheelchair lines, two lines placed parallel and on opposite sides of the centerline (a line which divides the playing surface down the middle). Athletes also are not permitted to touch the ice with their feet and the wheels of their wheelchair must be in contact with the ice upon delivery.

A second discipline, mixed doubles, will make its debut at the 2026 Milan Cortina Games, involving one male and one female teammate representing a country, with a format similar to curling mixed doubles. Whereas eight stones are delivered by each team per end in mixed team curling, only five stones are used in mixed doubles curling. Each mixed doubles team also begins each end with a "positioned" stone placed in a specified location on the sheet before delivering any stones. 

Once per game in mixed doubles, teams may use a "Power Play" when they possess the hammer to move each team's positioned stones to the side of the house. This is generally used to generate multiple points in the end or to defend a lead.

At the 2022 Beijing Winter Paralympics, China won on their home ice over Sweden in the gold medal match by a score of 8-3. The U.S. wheelchair curling mixed team fell short of qualifying for the semifinal round and ranked as the No. 5 team after round-robin play.

Wheelchair curling at the 2026 Milan Cortina Winter Paralympics will take place from Wednesday, March 4 to Friday, March 14.

Events begin before the Paralympics Opening Ceremony, starting with mixed doubles round-robin play. After the conclusion of round-robin play, the top four teams from each discipline qualify for the semifinal round. The mixed doubles semifinal round begins on March 10 and the mixed team semifinal begins on March 13.

The gold medal match for mixed doubles is scheduled for March 11, whereas the mixed team gold medal match will wrap up wheelchair curling on March 14.

Mixed curling at the 2026 Milan Cortina Winter Paralympics will take place at the Cortina Curling Olympic Stadium in Cortina d'Ampezzo, Italy. It's the same venue that will hold curling at the 2026 Winter Olympic Games.

The venue also was home to figure skating in the 1956 Winter Olympics in Cortina D'Ampezzo, where Tenley Albright became the first American woman to win a gold medal in figure skating.

There will be a mixed team and mixed doubles tournament in wheelchair curling at the 2026 Milan Cortina Winter Paralympics, each with respective round-robin play concluding in a bracket of the top four teams based on record from the round-robin matches. Winners of the first semifinal match will play for gold and silver, while losers of the semifinal round will play for the bronze medal.