| Final 21:17 | | time | gap | | L | Butter | Back | Breast | | 1. Clyde Lewis |  Australia | 4:13.12 | | | 4 | | 2. Mark Szaranek |  Scotland | 4:13.72 | +0.60 | | 3 | | 3. Lewis Clareburt |  New Zealand | 4:14.42 | +1.30 | NR | 7 | | 4. Ayrton Sweeney |  South Africa | 4:17.79 | +4.67 | | 5 | | 5. Bradlee Ashby | New Zealand | 4:18.61 | +5.51 | | 2 | | 6. Joe Litchfield |  England | 4:19.41 | +8.29 | | 8 | | 7. Tristan Cote |  Canada | 4:20.29 | +7.17 | | 6 | | 8. Travis Mahoney | Australia | 4:21.50 | +9.38 | | 1 |
| 10 Competitors from 10 Nations. Gold Coast Aquatics Centre. | | World Record: Michael Phelps, United States 4:03.84 Beijing, China 10 August 2008 | | Commonwealth record: Max Litchfield, Great Britain 4:09.62 Budapest, Hungary 30 July 2017 | | Commonwealth Games Record: Dan Wallace, Scotland 4:11.04 Glasgow, United Kingdom 25 July 2014 |
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Heats - Friday, 6th April 11:26 | | Best 8 times advanced to Final. |
| Heat 1 11:26 | | time | gap | | L | Rk | Butter | Back | Breast | | 1. Clyde Lewis | Australia | 4:17.25 | | Q | 5 | 1. | | 2. Ayrton Sweeney | South Africa | 4:18.08 | +0.83 | Q | 4 | 2. | | 5. Bradlee Ashby | New Zealand | 4:18.83 | +1.58 | Q | 6 | 5. | | 6. Lewis Clareburt | New Zealand | 4:19.16 | +1.91 | Q | 3 | 6. | | 10.Brandon Schuster |  Samoa | 4:31.99 | +14.74 | | 2 | 10. |
| Heat 2 11:-- | | time | gap | | L | Rk | Butter | Back | Breast | | 3. Mark Szaranek | Scotland | 4:18.47 | +1.22 | Q | 4 | 3. | | 4. Tristan Cote | Canada | 4:18.73 | +1.48 | Q | 5 | 4. | | 7. Travis Mahoney | Australia | 4:19.17 | +1.92 | Q | 6 | 7. | | 8. Joe Litchfield | England | 4:21.34 | +4.09 | Q | 3 | 8. | | 9. Lun Grobbelaar | South Africa | 4:22.77 | +5.52 | | 2 | 9. |
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