| Final 19:25 |   | time | gap | L | Y | pts | 100m | 200m | 300m |  | 1. Katie Ledecky |   United States | 3:58.15 | CR | 4 | 25 | 978 | 57.08s | 1:57.11 | 2:57.82 |  | 2. Summer McIntosh |   Canada | 3:59.39 | +1.24s | 5 | 15 | 963 | 57.79s | 1:58.03 | 2:58.73 |  | 3. Leah Smith |   United States | 4:02.08 | +3.93s | 2 | 27 | 931 | 58.29s | 1:59.77 | 3:01.57 |  | 4. Lani Pallister |   Australia | 4:02.16 | +4.01s | 3 | 20 | 931 | 57.56s | 1:59.22 | 3:01.49 |  | 5. Isabel Gose |   Germany | 4:03.47 | +5.32s | 8 | 20 | 916 | 58.43s | 2:00.19 | 3:02.23 |  | 6. Erika Fairweather |   New Zealand | 4:04.73 | +6.58s | 7 | 18 | 902 | 58.42s | 2:00.32 | 3:03.11 |  | 7. Kiah Melverton |   Australia | 4:05.62 | +7.47s | 6 | 25 | 892 | 58.03s | 1:59.89 | 3:02.61 |  | 8. Muhan Tang |   China | 4:10.70 | +12.55s | 1 | 18 | 839 | 58.44s | 2:00.36 | 3:04.97 |   
| World Record: Ariarne Titmus, Australia 3:56.40 Adelaide, Australia 22th May 2022 |  | World Championship Record: Katie Ledecky, United States 3:58.34 Budapest, Hungary 23rd July 2017 |   
|
 Heats - Saturday, 18th June 10:11 |  | Best 8 times advanced to Final.  |   
| Heat 4 10:29 |   | time | gap | L | Y | pts | Rk | 100m | 200m | 300m |  | 1. Katie Ledecky |   United States | 3:59.79 |   | 4 | 25 | 958 | 1. | 57.39s | 1:57.72 | 2:59.13 |  | 2. Summer McIntosh |   Canada | 4:03.19 | +3.40s | 5 | 15 | 919 | 2. | 58.23s | 1:59.45 | 3:01.48 |  | 3. Lani Pallister |   Australia | 4:03.71 | +3.92s | 3 | 20 | 913 | 3. | 58.04s | 1:59.85 | 3:02.14 |  | 4. Kiah Melverton |   Australia | 4:03.74 | +3.95s | 2 | 25 | 913 | 4. | 58.71s | 2:00.49 | 3:02.96 |  | 5. Leah Smith |   United States | 4:04.43 | +4.64s | 6 | 27 | 905 | 5. | 59.05s | 2:00.90 | 3:03.23 |  | 6. Ajna Kesely |   Hungary | 4:09.09 | +9.30s | 7 | 20 | 855 | 12. | 59.88s | 2:02.78 | 3:06.15 |  | 7. Gabrielle Roncatto |   Brazil | 4:12.09 | +12.30s | 0 | 23 | 825 | 16. | 59.53s | 2:02.91 | 3:07.48 |  | 8. Marlene Kahler |   Austria | 4:12.55 | +12.76s | 8 | 21 | 820 | 17. | 1:00.09 | 2:03.22 | 3:07.12 |  | 10.Bettina Fabian |   Hungary | 4:14.06 | +14.27s | 1 | 17 | 806 | 22. | 59.46s | 2:02.86 | 3:08.09 |   
| Heat 3 10:24 |   | time | gap | L | Y | pts | Rk | 100m | 200m | 300m  |  | 1. Erika Fairweather |   New Zealand | 4:06.00 | +6.21s | 3 | 18 | 888 | 6. | 59.99s | 2:02.88 | 3:05.23 |  | 2. Muhan Tang |   China | 4:06.29 | +6.50s | 5 | 18 | 884 | 7. | 1:00.41 | 2:02.73 | 3:05.25 |  | 3. Isabel Gose |   Germany | 4:06.44 | +6.65s | 6 | 20 | 883 | 8. | 59.78s | 2:02.08 | 3:04.51 |  | 4. Miyu Namba |   Japan | 4:08.07 | +8.28s | 2 | 20 | 866 | 9. | 1:00.78 | 2:04.09 | 3:07.82 |  | 5. Bingjie Li |   China | 4:08.25 | +8.46s | 4 | 20 | 864 | 10. | 1:00.43 | 2:03.43 | 3:06.05 |  | 6. Waka Kobori |   Japan | 4:08.55 | +8.76s | 7 | 21 | 861 | 11. | 1:00.62 | 2:04.03 | 3:06.80 |  | 7. Eve Thomas |   New Zealand | 4:09.49 | +9.70s | 1 | 21 | 851 | 13. | 1:00.90 | 2:04.01 | 3:07.66 |  | 8. Freya Anderson |   Great Britain | 4:11.82 | +12.03s | 8 | 21 | 827 | 14. | 1:00.64 | 2:04.41 | 3:07.30 |  | 9. Katja Fain |   Slovenia | 4:12.05 | +12.26s | 9 | 20 | 825 | 15. | 1:00.72 | 2:04.55 | 3:09.04 |  | 10.Freya Constance Colbert |   Great Britain | 4:12.82 | +13.03s | 0 | 18 | 818 | 18. | 1:01.23 | 2:04.81 | 3:08.62 |   
| Heat 2 10:18 |   | time | gap | L | Y | pts | Rk | 100m | 200m | 300m  |  | 1. Dakyung Han |   South Korea | 4:13.29 | +13.50s | 4 | 22 | 813 | 19. | 59.92s | 2:04.85 | 3:10.21 |  | 2. Helena Bach |   Denmark | 4:13.36 | +13.57s | 5 | 22 | 812 | 21. | 1:00.70 | 2:04.52 | 3:08.78 |  | 3. Ching Hwee Gan |   Singapore | 4:15.19 | +15.40s | 6 | 18 | 795 | 23. | 1:00.87 | 2:05.34 | 3:10.43 |  | 4. Paula Otero Fernandez |   Spain | 4:18.90 | +19.11s | 3 | 18 | 761 | 24. | 1:01.90 | 2:06.89 | 3:12.91 |  | 5. Zhanet Yavorova Angelova |   Bulgaria | 4:20.55 | +20.76s | 2 | 17 | 747 | 25. | 1:03.19 | 2:09.33 | 3:15.69 |  | 6. Kamonchanok Kwanmuang |   Thailand | 4:27.01 | +27.22s | 7 | 17 | 694 | 26. | 1:03.00 | 2:10.60 | 3:19.17 |  | 7. Thi My Tien Vo |   Vietnam | 4:28.99 | +29.20s | 1 | 16 | 679 | 27. | 1:03.98 | 2:11.27 | 3:19.99 |  | 8. Jamila Boulakbech |   Tunisia | 4:32.54 | +32.75s | 8 | 15 | 653 | 28. | 1:04.53 | 2:13.31 | 3:23.48 |  | 9. Natalia Jean Kuipers |   US Virgin Islands | 4:33.54 | +33.75s | 9 | 20 | 645 | 29. | 1:03.36 | 2:12.42 | 3:23.07 |  | -. Talita Te Flan |   Ivory Coast | DNS |   | 0 | 27 | - | -. |   |   |   |   
| Heat 1 10:11 |   | time | gap | L | Y | pts | Rk | 100m | 200m | 300m  |  | 1. Jehanara Nabi |   Pakistan | 4:37.93 | +38.14s | 4 | 17 | 615 | 30. | 1:05.47 | 2:15.66 | 3:27.01 |  | 2. Bianca Mitchell |   Antigua Barbuda | 4:45.89 | +46.10s | 2 | 20 | 565 | 31. | 1:07.68 | 2:20.14 | 3:33.76 |  | 3. Therese Soukup |   Seychelles | 4:46.09 | +46.30s | 5 | 18 | 564 | 32. | 1:08.72 | 2:21.60 | 3:34.57 |  | 4. Arianna Lont |   Saint Martin | 5:19.07 | +1:19.28 | 3 | 15 | 407 | 33. | 1:10.03 | 2:31.79 | 3:55.41 |  | 5. Keana Santos |   Guam | 5:28.52 | +1:28.73 | 6 | 14 | 372 | 34. | 1:11.24 | 2:34.67 | 4:02.25 |   
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