| Final | time | gap | bib | ||
| 1. Cristhian Pacheco |  Peru | 2:11:14 | PB | 22 | |
| 2. Hugo Catrileo |  Chile | 2:12:07 | PB | +0:53 | 16 |
| 3. Luis Ostos | Peru | 2:12:34 | PB | +1:20 | 23 |
| 4. Matias Silva | Chile | 2:14:16 | +3:02 | 17 | |
| 5. Johnatas de Oliveira |  Brazil | 2:14:51 | +3:37 | 14 | |
| 6. Paulo Paula | Brazil | 2:15:20 | +4:06 | 15 | |
| 7. Alvaro Abreu |  Dominicana | 2:15:27 | +4.13 | 18 | |
| 8. Patricio Castillo |  Mexico | 2:20:06 | +8:52 | 19 | |
| 9. Turner Wiley |  United States | 2:20:25 | SB | +9:11 | 26 |
| 10.Derlys Ayala |  Paraguay | 2:22:29 | +11:15 | 21 | |
| 11.Hesiqio Flores | Mexico | 2:26:20 | +15:06 | 20 | |
| -. Pedro Gomez |  Argentina | DNF | 13 | ||
| -. Ronal Cuestas |  Uruguay | DNF | 24 | ||
| -. Ernesto Zamora | Uruguay | DNS | 25 |
| Venue: Explanada Campo de Marte. |
| World Record: Eilud Kypchogue, Kenya 2:01.39 Berlin, Germany 16th September 2018 |
| American Record: Daniel do Nascimento, Brazil 2:04.51 Seoul, South Korea 17th Aprol 2022 |
| PanAmerican Games Record: Cristian Pacheco, Peru 2:09.31 Lima, Peru 27th July 2019 |
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todor1966@yahoo.com
Last updated: 6 Nov 2023
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