| Final 21:16 | | time | | gap | L | | 1. |  Australia | 7:04.96 | GR | | 4 | 1. | | | Elijah Winnington 1:46.36, Flynn Southam 1:46.08, Zac Incerti 1:46.08, Mack Horton 1:46.44 | | 2. |  England | 7:07.50 | | | 5 | 2. | | | James Guy 1:46.87, Jacob Whittle 1:47.89, Joe Litchfield 1:47.59, Tom Dean 1:45.15 | | 3. |  Scotland | 7:09.33 | | | 2 | 3. | | | Stephen Milne 1:49.30, Evan Jones 1:47.64, Mark Szaranek 1:47.91, Duncan Scott 1:44.48 | | 4. |  Wales | 7:10.64 | | | 3 | 4. | | | Calum Jarvis 1:47.38, Matt Richards 1:46.47, Dan Jones 1:48.79, Kieran Bird 1:48.00 | | 5. |  Canada | 7:12.68 | | | 8 | 5. | | | Ruslan Gaziev 1:48.73, Finlay Knox 1:48.03, Jeremy Bagshaw 1:49.22, Javier Acevedo 1:46.70 | | 6. |  South Africa | 7:13.76 | | | 6 | 6. | | | Matthew Sates 1:47.07, Chad le Clos 1:47.47, Andrew Ross 1:49.36, Pieter Coetze 1:49.86 | | 7. |  Isle of Man | 7:43.70 | | | 7 | 7. | | | Alex Bregazzi 1:52.20, Joel Watterson 1:55.65, Peter Allen 1:57.48, Harry Robinson 1:58.37 | | 8. |  Gibraltar | 8:08.83 | | | 1 | 8. | | | Matt Savitz 2:01.67, Jordan Gonzalez 2:04.87, Aidan Carroll 2:01.58, Johnpaul Balloqui 2:00.71 |
| 32 Competitors from 8 Nations. | | World Record: United States (Michael Phelps, Ricky Berens, David Walters, Ryan Lochte 6:58.55 Rome, Italy 31 July 2009 | | Commonwealth Record: Great Britain (Thomas Dean, James Guy, Matthew Richards, Duncan Scott 6:58.58 Tokyo, Japan 28 July 2021 | | Commonwealth Games Record: Australia (Alexander Graham, Kyle Chalmers, Elijah Winnington, Mack Horton 7:05.97 Gold Coast, Australia 8 April 2018 |
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