| | Final | time | | gap | L | | 1. |  Netherlands | 3:25.07 | WL, NR | | 5 | | | Lieke Klaver, Cathelijn Peeters, Lisanne de Witte, Femke Bol | | 2. |  United States | 3:25.34 | SB | +0.27s | 4 | | | Quanera Hayes, Talitha Diggs, Bailey Lear, Alexis Holmes | | 3. |  Great Britain | 3:26.36 | NR | +1.29s | 6 | | | Laviai Nielsen, Lina Nielsen, Ama Pipi, Jessie Knight | | 4. |  Belgium | 3:28.05 | NR | +2.98s | 1 | | | Naomi Van Den Broeck, Helena Ponette, Camille Laus, Cynthia Bolingo | | 5. |  Ireland | 3:28.92 | | +3.85s | 2 | | | Phil Healy, Sophie Becker, RóisÃn Harrison, Sharlene Mawdsley | | -. |  Jamaica | DNF | | | 3 | | | Lanae-Tava Thomas, Andrenette Knight, Charokee Young, Stacey Ann Williams |
| World Record: | | Championship Record: |
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Heats - Sunday 03.03.2024 | | First 2 and Best 2 best times advanced to Final. |
| | Heat 1 | time | | L | | 3. | Netherlands | 3:27.70 | Q, SB | 6 | | | Myrte van der Schoot, Eveline Saalberg, Lisanne de Witte, Femke Bol | | 4. | United States | 3:28.04 | Q | 5 | | | Quanera Hayes, Jessica Wright, Na'Asha Robinson, Bailey Lear | | 5. | Belgium | 3:28.07 | q, NR | 3 | | | Naomi Van Den Broeck, Imke Vervaet, Helena Ponette, Cynthia Bolingo | | 6. | Ireland | 3:28.45 | q, NR | 4 | | | Phil Healy, Sophie Becker, RóisÃn Harrison, Sharlene Mawdsley |
| | Heat 2 | time | | L | | 1. | Great Britain | 3:26.40 | Q, NR | 5 | | | Lina Nielsen, Ama Pipi, Hannah Kelly, Jessie Knight | | 2. | Jamaica | 3:27.35 | Q, SB | 6 | | | Junelle Bromfield, Andrenette Knight, Charokee Young, Leah Anderson | | 7. |  Czechia | 3:28.57 | SB | 3 | | | Tereza Petržilková, Terezie Táborská, Lurdes Manuel, Lada Vondrová | | 8. |  Poland | 3:28.80 | SB | 4 | | | Marika Popowicz-DrapaÅ‚a, Kinga Gacka, Anna Gryc, Justyna ÅÅ¡wiÄ™ty-Ersetic | | 9. |  Portugal | 3:31.93 | NR | 2 | | | Fatoumata Binta Diallo, Carina Vanessa, Cátia Azevedo, Vera Barbosa |
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