| 1 |  | Sifan Hassan | 2:22:55h |
| 2 |  | Tigist Assefa | 2:22:58h |
| 3 |  | Hellen Obiri | 2:23:10h |
| 4 | | Sharon Lokedi | 2:23:14h |
| 5 | | Amane Beriso Shankule | 2:23:57h |
| 6 |  | Yuka Suzuki | 2:24:02h |
| 7 |  | Delvine Relin Meringor | 2:24:56h |
| 8 |  | Stella Chesang | 2:26:01h |
| 9 |  | Lonah Chemtai Salpeter | 2:26:08h |
| 10 |  | Eunice Chebichii Chumba | 2:26:10h |
| 11 |  | Fatima Ezzahra Gardadi | 2:26:30h |
| 12 |  | Dakotah Lindwurm | 2:26:44h |
| 13 |  | Jessica Stenson | 2:26:45h |
| 14 |  | Sardana Trofimova | 2:26:47h |
| 15 | | Peres Jepchirchir | 2:26:51h |
| 16 |  | Fabienne Schlumpf | 2:28:10h |
| 17 |  | Majida Maayouf | 2:28:35h |
| 18 |  | Thalia Valdivia | 2:29:01h |
| 19 |  | Hanne Verbruggen | 2:29:03h |
| 20 |  | Mekdes Woldu | 2:29:20h |
| 21 |  | Florencia Borelli | 2:29:29h |
| 22 | | Helen Bekele | 2:29:43h |
| 23 | | Emily Sisson | 2:29:53h |
| 24 | | Genevieve Gregson | 2:29:56h |
| 25 | | Meritxell Soler | 2:29:56h |
| 26 |  | Tereza Hrochova | 2:30:00h |
| 27 |  | Citlali Moscote | 2:30:03h |
| 28 |  | Fionnuala McCormack | 2:30:12h |
| 29 |  | Domenika Mayer | 2:30:14h |
| 30 |  | Sofiya Yaremchuk | 2:30:20h |
| 31 |  | Mokulubete Blandina Makatisi | 2:30:20h |
| 32 |  | Cian Oldknow | 2:30:29h |
| 33 |  | Zhanna Mamazhanova | 2:30:51h |
| 34 | | Tigist Gashaw | 2:30:53h |
| 35 | | Malindi Elmore | 2:31:08h |
| 36 |  | Aleksandra Lisowska | 2:31:10h |
| 37 | | Irvette van Zyl | 2:31:14h |
| 38 | | Laura Hottenrott | 2:31:19h |
| 39 | | Kaoutar Farkoussi | 2:31:34h |
| 40 |  | Magdalena Shauri | 2:31:58h |
| 41 | | Daiana Ocampo | 2:32:02h |
| 42 | | Esther Navarrete | 2:32:07h |
| 43 | | Rose Chelimo | 2:32:08h |
| 44 | | Rebecca Cheptegei | 2:32:14h |
| 45 | | Gerda Steyn | 2:32:51h |
| 46 |  | Clara Evans | 2:33:01h |
| 47 |  | Khishigsaikhan Galbadrakh | 2:33:26h |
| 48 | | Bayartsogt Munkhzaya | 2:33:27h |
| 49 | | Maor Tiyouri | 2:33:37h |
| 50 | | Anne Luijten | 2:33:42h |
| 51 | | Mao Ichiyama | 2:34:13h |
| 52 |  | Carolina Wikström | 2:34:20h |
| 53 |  | Mary Zenaida Granja | 2:34:34h |
| 54 | | Marie Perrier | 2:34:56h |
| 55 |  | Julia Mayer | 2:35:14h |
| 56 |  | Gladys Tejeda | 2:35:36h |
| 57 |  | Susana Santos | 2:35:57h |
| 58 |  | Dolshi Tesfu | 2:36:30h |
| 59 |  | Deshun Zhang | 2:36:47h |
| 60 |  | Camille French | 2:37:21h |
| 61 | | Silvia Ortiz | 2:37:23h |
| 62 | | Luz Mery Rojas | 2:37:24h |
| 63 | | Margarita Hernandez Flores | 2:37:24h |
| 64 | | Angelika Mach | 2:37:56h |
| 65 |  | Camilla Richardsson | 2:38:02h |
| 66 | | Moira Stewartová | 2:38:07h |
| 67 | | Giovanna Epis | 2:38:26h |
| 68 |  | Helalia Johannes | 2:38:36h |
| 69 | | Mercyline Chelangat | 2:39:40h |
| 70 | | Méline Rollin | 2:40:17h |
| 71 |  | Bojana Bjeljac | 2:41:13h |
| 72 | | Yuyu Xia | 2:42:10h |
| 73 | | Rosa Chacha | 2:42:14h |
| 74 | | Mélody Julien | 2:42:32h |
| 75 |  | Angie Orjuela | 2:42:57h |
| 76 | | Li Bai | 2:44:44h |
| 77 |  | Clementine Mukandanga | 2:45:40h |
| 78 | | Rose Harvey | 2:51:03h |
| 79 |  | Shantoshi Shrestha | 2:55:06h |
| 80 |  | Kinzang Lhamo | 3:52:59h |
| 81 | | Chloé Herbiet | DNF |
| 81 | | Rahma Tahiri | DNF |
| 81 | | Alemu Kebede Megertu | DNF |
| 81 | | Joan Chelimo Melly | DNF |
| 81 | | Jackline Sakilu | DNF |
| 81 | | Fiona O'Keeffe | DNF |
| 81 | | Sinead Diver | DNF |
| 81 | | Matea Parlov Kostro | DNF |
| 81 | | Melat Kejeta | DNF |
| 81 | | Calli Thackery | DNF |
| 81 |  | Rutendo Joan Nyahora | DNF |
