A medal arrangement device and a medal game machine are disclosed. A medal arrangement device has a holder and a supplier with a medal hopper and a guide unit. A medal passage has a first medal passage part and a second medal passage part. The guide has an upstream abutting part and a downstream abutting part provided on a first side wall surface side of the first medal passage part. When one medal ejected from the medal hopper reaches a predetermined position of the downstream end portion, at least a part of the upstream abutting part and at least a part of the downstream abutting part are located in the first medal passage part to press the medal against the second side wall surface. When the medal passes through the predetermined position, the downstream abutting part retracts to an outside of the first medal passage part.