| Final Ranking | | time | | gap | bib |
| 1. Sifan Hassan |  Netherlands | 2:22:55 | OR | | 270 |
| 2. Tigst Assefa |  Ethiopia | 2:22:58 | | +0:03 | 1790 |
| 3. Hellen Obiri |  Kenya | 2:23:10 | PB | +0:15 | 2118 |
| 4. Sharon Lokedi | Kenya | 2:23:14 | PB | +0:19 | 2114 |
| 5. Amane Beriso Shankule | Ethiopia | 2:23:57 | | +1:02 | 1799 |
| 6. Yuka Suzuki |  Japan | 2:24:02 | PB | +1:07 | 2092 |
| 7. Delvine Relin Meringor |  Romania | 2:24:56 | SB | +2:01 | 2298 |
| 8. Stella Chesang |  Uganda | 2:26:01 | | +3:06 | 2398 |
| 9. Lonah Chemtai Salpeter |  Israel | 2:26:08 | SB | +3:13 | 2003 |
| 10.Eunice Chebichii Chumba |  Bahrain | 2:26:10 | | +3:15 | 1611 |
| 11.Fatima Ezzahra Gardadi |  Marocco | 2:26:30 | | +3:35 | 2148 |
| 12.Dakotah Lindwurm |  United States | 2:26:44 | | +3:49 | 2450 |
| 13.Jessica Stenson |  Australia | 2:26:45 | | +3:50 | 1545 |
| 14.Sardana Trofimova |  Kyrgyzstan | 2:26:47 | NR | +3:52 | 2121 |
| 15.Peres Jepchirchir | Kenya | 2:26:51 | | +3:56 | 2109 |
| 16.Fabienne Schlumpf |  Switzerland | 2:28:10 | SB | +5:15 | 2353 |
| 17.Majida Maayouf |  Spain | 2:28:35 | SB | +5:40 | 1764 |
| 18.Thalia Valdivia |  Peru | 2:29:01 | | +6:06 | 2238 |
| 19.Hanne Verbruggen |  Belgium | 2:29:03 | SB | +6:08 | 1584 |
| 20.Mekdes Woldu |  France | 2:29:20 | SB | +6:25 | 1856 |
| 21.Florencia Borelli |  Argentina | 2:29:29 | | +6:34 | 1505 |
| 22.Helen Bekele | Switzerland | 2:29:43 | | +6:48 | 2335 |
| 23.Emily Sisson | United States | 2:29:53 | | +6:58 | 2471 |
| 24.Genevieve Gregson | Australia | 2:29:56 | SB | +7:01 | 1526 |
| 25.Meritxell Soler | Spain | 2:29:56 | | +7:01 | 1781 |
| 26.Tereza Hrochova |  Czechia | 2:30:00 | | +7:05 | 1714 |
| 27.Citlali Cristian Moscote |  Mexico | 2:30:03 | SB | +7:08 | 2156 |
| 28.McCORMACK Fionnuala |  Ireland | 2:30:12 | SB | +7:17 | 1997 |
| 29.Domenika Mayer |  Germany | 2:30:14 | | +7:19 | 1927 |
| 30.Sofiia Yaremchuk |  Italy | 2:30:20 | SB | +7:25 | 2040 |
| 31.Mokulubete Blandina Makatisi |  Lesotho | 2:30:20 | PB | +7:25 | 2135 |
| 32.Cian Oldknow |  South Africa | 2:30:29 | | +7:34 | 2310 |
| 33.Zhanna Mamazhanova |  Kazakhstan | 2:30:51 | | +7:56 | 2099 |
| 34.Tigist Gashaw | Bahrain | 2:30:53 | | +7:58 | 1613 |
| 35.Malindi Elmore |  Canada | 2:31:08 | SB | +8:13 | 1624 |
| 36.Aleksandra Lisowska |  Poland | 2:31:10 | SB | +8:15 | 2257 |
| 37.Irvette van Zyl | South Africa | 2:31:14 | SB | +8:19 | 2314 |
| 38.Laura Hottenrott | Germany | 2:31:19 | SB | +8:24 | 1912 |
| 39.Kaoutar Farkoussi | Marocco | 2:31:34 | | +8:39 | 2147 |
| 40.Magdalena Shauri |  Tanzania | 2:31:58 | SB | +9:03 | 2375 |
| 41.Daiana Ocampo | Argentina | 2:32:02 | | +9:07 | 1507 |
| 42.Esther Navarrete | Spain | 2:32:07 | | +9:12 | 1768 |
| 43.Rose Chelimo | Bahrain | 2:32:08 | | +9:13 | 1610 |
| 44.Rebecca Cheptegei | Uganda | 2:32:14 | SB | +9:19 | 2397 |
| 45.Gerda Steyn | South Africa | 2:32:51 | SB | +9:56 | 2312 |
| 46.Clara Evans |  Great Britain | 2:33:01 | SB | +10:06 | 1869 |
| 47.Khishigsaikhan Galbadrakh |  Mongolia | 2:33:26 | | +10:31 | 2162 |
| 48.Munkhzaya Bayartsogt | Mongolia | 2:33:27 | | +10:32 | 2161 |
| 50.Anne Luijten | Netherlands | 2:33:42 | | +10:47 | 2177 |
| 51.Mao Ichiyama | Japan | 2:34:13 | SB | +11:18 | 2086 |
| 52.Carolina Wikstrom |  Sweden | 2:34:20 | | +11:25 | 2372 |
| 53.Mary Zenaida Granja |  Ecuador | 2:34:34 | | +11:39 | 1738 |
| 54.Marie Perrier |  Mauritius | 2:34:56 | SB | +12:01 | 2164 |
| 55.Julia Mayer |  Austria | 2:35:14 | | +12:19 | 1555 |
| 56.Gladys Tejeda | Peru | 2:35:36 | SB | +12:41 | 2237 |
| 57.Susana Santos |  Portugal | 2:35:57 | SB | +13:02 | 2289 |
| 58.Dolshi Tesfu |  Eritrea | 2:36:30 | SB | +13:35 | 1746 |
| 59.Deshun Zhang |  China | 2:36:47 | | +13:52 | 1676 |
| 60.Camille French |  New Zealand | 2:37:21 | | +14:26 | 2225 |
| 61.Silvia Patricia Ortiz Morocho | Ecuador | 2:37:23 | SB | +14:28 | 1740 |
| 62.Luz Mery Rojas | Peru | 2:37:24 | | +14:29 | 2236 |
| 63.Margarita Hernandez Flores | Mexico | 2:37:24 | SB | +14:29 | 2158 |
| 64.Angelika Mach | Poland | 2:37:56 | SB | +15:01 | 2260 |
| 65.Camilla Richardsson |  Finland | 2:38:02 | SB | +15:07 | 1816 |
| 66.Moira Stewartova | Czechia | 2:38:07 | SB | +15:12 | 1723 |
| 67.Giovanna Epis | Italy | 2:38:26 | | +15:31 | 2019 |
| 68.Helalia Johannes |  Namibia | 2:38:36 | | +15:41 | 2167 |
| 69.Mercyline Chelangat | Uganda | 2:39:40 | SB | +16:45 | 2394 |
| 70.Meline Rollin | France | 2:40:17 | | +17:22 | 1850 |
| 71.Bojana Bjeljac |  Croatia | 2:41:13 | SB | +18:18 | 1696 |
| 72.Yuyu Xia | China | 2:42:10 | | +19:15 | 1671 |
| 73.Rosa Alva Chacha | Ecuador | 2:42:14 | | +19:19 | 1737 |
| 74.Melody Julien | France | 2:42:32 | SB | +19:37 | 1834 |
| 75.Angie Orjuela |  Colombia | 2:42:57 | SB | +20:02 | 1694 |
| 76.Li Bai | China | 2:44:44 | | +21:49 | 1654 |
| 77.Clementine Mukandanga |  Rwanda | 2:45:40 | SB | +22:45 | 2315 |
| 78.Rose Harvey | Great Britain | 2:51:03 | SB | +28:08 | 1871 |
| 79.Shantoshi Shrestha |  Nepal | 2:46:21 | | +30:12 | 2193 |
| 80.Kinzang Lhamo |  Bhutan | 3:52:59 | | +1:30:04 | 1589 |
| did not finish | | time | Rk | at | bib |
| -. Matea Parlov Kostro | Croatia | 2:05:53 | 44. | 35km | 1699 |
| -. Rahima Tahiri | Morocco | 2:06.45 | 52. | 35km | 2150 |
| -. Calli Hauger-Thackery | Great Britain | 1:28.46 | 49. | 25km | 1872 |
| -. Chloe Herbiet | Belgium | 1:35.10 | 81. | 25km | 1571 |
| -. Megertu Alemu | Ethiopia | 1:26.40 | 14. | 25km | 1788 |
| -. Rutendo Joan Nyahora |  Zimbabwe | 1:26.44 | 85. | Half | 2496 |
| -. Melat Yisak Kejeta | Germany | 51:35 | 18. | 15km | 1817 |
| -. Jackline Sakilu | Tanzania | 51:47 | 37. | 15km | 2374 |
| -. Joan Chelimo Melly | Romania | 34:54 | 66. | 10km | 2297 |
| -. Sinead Diver | Australia | NT | | | 1522 |
| -. Fiona O'Keefe | United States | NT | | | 2461 |
