World Record: South Korea 4:04.222 Salt Lake City, United States 12 Nov 2016
Olympiv Record: China 4:06.610 Vancouver, Canada 24 Feb 2010
| Final A 20:29 | time | Note | | 1. South Korea |  _ | 4:07.361 | Gold | | Shim Suk-hee, Choi Min-jeong, Kim Ye-jin, Kim Alang-R | | 2. Italy |  _ | 4:15.901 | Silv | | Arianna Fontana, Lucia Peretti, Cecilia Maffei, Martina Valcepina | | -. China |  _ | 4:07.424 | PEN | | Fan Kexin, Qu Chunyu, Li Jinyu-R, Zhou Yang | | -. Canada |  _ | 4:26.381 | PEN | | Marianne St-Gelais, Kim Boutin, Valerie Maltais-R, Kasandra Bradette |
| Final B 20:23 | time | Note | | 3. Netherlands |  _ | 4:03.471 | WR Bronze | | Suzanne Schulting, Yara van Kerkhof, Lara van Ruijven, Jorien ter Mors | | 4. Hungary |  _ | 4:03.603 | | | Petra Jászapáti, Andrea Keszler, Zsofia Konya-R, Sára Bácskai | | 5. OA Russia |  _ | 4:08.838 | | | Sofia Prosvirnova, Ekaterina Konstantinova, Ekaterina EfremenkovaEmina Malagich | | 6. Japan |  _ | 4:13.072 | | | Hitomi Saito, Sumire Kikuchi, Shione Kaminaga-R, Yuki Kikuchi |
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Semifinals - Saturday 13.02 20:52 | | First 2 to Final A. Rest to Final B. |
| Semi 1 20:52 | time | Note | | 1. South Korea | _ | 4:06.387 | QA | | Shim Suk-hee, Choi Min-jeong, Kim Ye-jin, Lee Yu-bin | | 2. Canada | _ | 4:07.627 | QA | | Marianne St-Gelais, Kim Boutin, Jamie Macdonald, Kasandra Bradette | | 3. Hungary | _ | 4:09.555 | QB | | Petra Jászapáti, Andrea Keszler, Sára Bácskai, Bernadett Heidum | | 4. OA Russia | _ | 4:21.973 | QB | | Sofia Prosvirnova, Ekaterina Konstantinova, Ekaterina EfremenkovaEmina Malagich |
| Semi 2 20:58 | time | Note | | 1. China | _ | 4:05.315 | QA | | Fan Kexin, Han Yutong, Qu Chunyu, Zhou Yang | | 2. Italy | _ | 4:05.918 | QA | | Arianna Fontana, Lucia Peretti, Cecilia Maffei, Martina Valcepina | | 3. Netherlands | _ | 4:05.977 | QB | | Suzanne Schulting, Yara van Kerkhof, Lara van Ruijven, Jorien ter Mors | | 4. Japan | _ | 4:12.664 | QB | | Hitomi Saito, Sumire Kikuchi, Ayuko Ito, Yuki Kikuchi |
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