| Final Ranking | time | | | 1. Gotytom Gebreslase |  Ethiopia | 2:18:11 | CR | | 2. Judith Korir |  Kenya | 2:18:20 | PB | | 3. Lonah Chemtai Salpeter |  Israel | 2:20:18 | - | | 4. Nazret Weldu |  Eritrea | 2:20:29 | NR | | 5. Sara Hall |  United States | 2:22:10 | SB | | 6. Angela Tanui | Kenya | 2:22:15 | - | | 7. Emma Bates | United States | 2:23:18 | PB | | 8. Keira D'Amato | United States | 2:23:34 | - | | 9. Mizuki Matsuda |  Japan | 2:23:49 | - | | 10.Citlali Moscote |  Mexico | 2:26:33 | - | | 11.Zhang Deshun |  China | 2:28:11 | - | | 12.Jess Piasecki |  Great Britain NI | 2:28:41 | - | | 13.Leslie Sexton |  Canada | 2:28:52 | SB | | 14.Sarah Klein |  Australia | 2:30:10 | SB | | 15.Militsa Mircheva |  Bulgaria | 2:30:20 | - | | 16.Alisa Vainio |  Finland | 2:30:29 | - | | 17.Tereza Hrochová |  Czech Republic | 2:30:39 | SB | | 18.Risper Gesabwa | Mexico | 2:30:47 | SB | | 19.Mieke Gorissen |  Belgium | 2:31:06 | SB | | 20.Beverly Ramos |  Puerto Rico | 2:31:10 | NR | | 21.Zhanna Mamazhanova |  Kazakhstan | 2:31:15 | - | | 22.Li Zhixuan | China | 2:31:20 | SB | | 23.Maor Tiyouri | Israel | 2:31:54 | PB | | 24.Hanna Lindholm |  Sweden | 2:32:08 | PB | | 25.Carolina Wikström | Sweden | 2:32:24 | - | | 26.Kinsey Middleton | Canada | 2:32:56 | - | | 27.Élissa Legault | Canada | 2:37:35 | - | | 28.Adrijana Pop Arsova |  North Macedonia | 2:41:20 | - | | 29.Kit Ching Yiu |  Hong Kong | 2:43:13 | SB | | 30.Munkhzaya Bayartsogt |  Mongolia | 2:46:09 | - | | 31.Chun-yu Tsao |  Chinese Taipei | 2:47:02 | SB | | 32.Aydee Huaman |  Peru | 3:04:16 | SB | | -. Ashete Bekere | Ethiopia | DNF | - | | -. Andrea Bonilla |  Colombia | DNF | - | | -. Rosa Chacha | Colombia | DNF | - | | -. Immaculate Chemutai |  Uganda | DNF | - | | -. Ruth Chepngetich | Kenya | DNF | - | | -. Rose Harvey | Great Britain NI | DNF | - | | -. Charlotte Purdue | Great Britain NI | DNF | - | | -. Ababel Yeshaneh | Ethiopia | DNF | - | | -. Hitomi Niiya | Japan | DNS | - |
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| | | Start: 06:14 Temperature: 10° C Humidity: 90% | | End: 09:19 Temperature: 16° C Humidity: 75% | | 48 Competitors from 26 Nations. Quota 100. | | Entry Standard: 2:29.30. |
| Intermediate Times: | | 10km: Ruth Chepngetich (KEN) 32:39 | | 20km: Gotytom Gebreslase (ETH) 1:05.36 | | Half: Ababel Yeshaneh (ETH) 1:09:01 | | 30km: Judith Korir (KEN) 1:38:08 | | 40km: Judith Korir (KEN) 2:11:17 |
| World Record: Brigid Kosgei, Kenya 2:14:04 Chicago, United States 13 October 2019 | | Championship Record: Paula Radcliffe, Great Britain 2:20:57 Helsinki, Finland 14 August 2005 | | World Leading: Brigid Kosgei, Kenya 2:16:02 Tokyo, Japan 6 March 2022 | | African Record: Brigid Kosgei, Kenya 2:14:04 Chicago, United States 13 October 2019 | | Asian Record: Mizuki Noguchi. Japan 2:19:12 Berlin, Germany 25 September 2005 | | North, Central American and Caribbean Record: Keira D'Amato, United States 2:19:12 | Houston, United States 16 January 2022 | | South American Record: Gladys Tejeda, Peru 2:25:57 Seville, Spain 20 February 2022 | | European Record: Paula Radcliffe, Great Britain 2:15:25 London, Great Britain 13 April 2003 | | Oceanian Record: Benita Willis-Johnson, Australia 2:22:36 Chicago, United States 22 October 2006 |
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