| Final 21:13 | | time | | gap | L | | 1. |  Australia | 7:39.29 | WR | | 5 | 1. | | | Madison Wilson 1:56.27, Kiah Melverton 1:55.40, Mollie O'Callaghan 1:54.80, Ariarne Titmus, 1:52.82 | | 2. |  Canada | 7:51.98 | | +12.69s | 4 | 2. | | | Summer McIntosh 1:55.24, Ella Jansen 1:57.83, Mary-Sophie Harvey 1:59.65, Katerine Savard, 1:59.26 | | 3. |  England | 7:57.11 | | +17.82s | 3 | 3. | | | Freya Colbert 1:57.85, Tamryn van Selm 2:02.60, Abbie Wood 1:58.99, Freya Anderson, 1:57.67 | | 4. |  South Africa | 8:02.25 | | +22.96s | 6 | 4. | | | Aimee Canny 1:58.72, Duné Coetzee 1:59.49, Erin Gallagher 2:03.35, Michaela Pulford, 2:00.69 | | 5. |  Scotland | 8:13.84 | | +34.55s | 2 | 5. | | | Lucy Hope 2:01.78, Emma Russell 2:03.78, Evie Davis 2:05.16, Tain Bruce, 2:03.12 |
| 20 Competitors from 5 Nations. | | World Record: China (Yang Junxuan, Tang Muhan, Zhang Yufei, Li Bingjie 7:40.33 Tokyo, Japan 29 July 2021 | | Commonwealth Record: Australia (Ariarne Titmus, Emma McKeon, Madison Wilson, Leah Neale 7:41.29 Tokyo, Japan 29 July 2021 | | Commonwealth Games Record: Australia (Emma McKeon, Brianna Throssell, Leah Neale, Ariarne Titmus 7:48.04 Gold Coast, Australia | 7 April 2018 |
| All Commonwealth Games Winners | | 1986: Burke, Pearson, Thorpe, Baumer (AUS) | | 1990: Lewis, Elford, McMahon, McDonald (AUS) | | 1994: Windsor, Lewis, Livingstone, O'Neill (AUS) | | 1998: Windsor, Greville, Munz, O'Neill (AUS) | | 2002: Legg, Lee, Fargus, Pickering (ENG) | | 2006: Lenton, Barratt, Stubbins, Mackenzie (AUS) | | 2010: Palmer, Evans, Barratt, Nay (AUS) | | 2014: McKeon, Coutts, Elmslie, Barratt (AUS) | | 2018: McKeon, Throssell, Neale, Titmus (AUS) | | 2022: Wilson, Melverton, O'Callaghan, Titmus (AUS) |
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