The 1923 Twente–Westphalia athletics competition was an international athletics competition between athletes of Westphalia, Germany and Twente, the Netherlands. The competition was held at the G.J. van Heekpark [nl] in Enschede, the Netherlands on 8 July 1923. The competition included in total 15 events: 11 events for men and 4 events for women. The competition was the first Twente–Westphalia athletics competition. It was hosted a year after an athletics competition of national teams of the Netherlands and Germany in Enschede.
The competition was won by the Westphalia with 78 points versus Twente with 66 points.
Requests were made to include attempts to break Dutch records. This was approved by the chairman of the Dutch athletics association who was present. Harke (Olympia-Hengelo) broke the national record in the women's long jump with a distance of with 4.67 metres, beating the previous record of 4.55 from Annie van de Blankevoort. Franken (Hercules Hebe-Enschede) broke the women's 80 metres record with a time of with 10.5 seconds, beating the previous record of 10.7 seconds also from Annie van de Blankevoort.
In each individual event two athletes of each team competed. In the relay event the two teams competed against each other. The winner of each event received 4 points, with 3, 2 and 1 point for the other positions. For the overall classication all points from each teams are added together.