| Competition | 2022 World Aquatics Championships | 
|---|---|
| Venue | Budapest | 
| Held | 18 June 2022 | 
| Status | Medal | 
| Competitors | 34 | 
| Countries | 27 | 
| Pos | Athlete(s) | Country | Preliminary Round | Final | ||
|---|---|---|---|---|---|---|
| 🥇 | Katie Ledecky | 3:59.79 (1 h4) | 3:58.15 (1 F) | |||
| 🥈 | Summer McIntosh | 4:03.19 (2 h4) | 3:59.39 (2 F) | |||
| 🥉 | Leah Smith | 4:04.43 (5 h4) | 4:02.08 (3 F) | |||
| 4 | Lani Pallister | 4:03.71 (3 h4) | 4:02.16 (4 F) | |||
| 5 | Isabel Gose | 4:06.44 (8 h3) | 4:03.47 (5 F) | |||
| 6 | Erika Fairweather | 4:06.00 (6 h3) | 4:04.73 (6 F) | |||
| 7 | Kiah Melverton | 4:03.74 (4 h4) | 4:05.62 (7 F) | |||
| 8 | Tang Muhan | 4:06.29 (7 h3) | 4:10.70 (8 F) | |||
| 9 | Miyu Namba | 4:08.07 (9 h3) | — | |||
| 10 | Li Bingjie | 4:08.25 (10 h3) | — | |||
| 11 | Waka Kobori | 4:08.55 (11 h3) | — | |||
| 12 | Ajna Késely | 4:09.09 (12 h4) | — | |||
| 13 | Eve Thomas | 4:09.49 (13 h3) | — | |||
| 14 | Freya Anderson | 4:11.82 (14 h3) | — | |||
| 15 | Katja Fain | 4:12.05 (15 h3) | — | |||
| 16 | Gabi Roncatto | 4:12.09 (16 h4) | — | |||
| 17 | Marlene Kahler | 4:12.55 (17 h4) | — | |||
| 18 | Freya Colbert | 4:12.80 (18 h3) | — | |||
| 19 | Han Da-Gyeong | 4:13.29 (19 h2) | — | |||
| 20 | Valentine Dumont | 4:13.33 (20 h4) | — | |||
| 21 | Helena Bach | 4:13.36 (21 h2) | — | |||
| 22 | Bettina Fábián | 4:14.06 (22 h4) | — | |||
| 23 | Gan Ching Hwee | 4:15.20 (23 h2) | — | |||
| 24 | Paula Otero | 4:18.90 (24 h2) | — | |||
| 25 | Zhanet Angelova | 4:20.60 (25 h2) | — | |||
| 26 | Kamonchanok Kwanmuang | 4:27.01 (26 h2) | — | |||
| 27 | Võ Thị Mỹ Tiên | 4:29.00 (27 h2) | — | |||
| 28 | Jamila Boulakbech | 4:32.54 (28 h2) | — | |||
| 29 | Natalia Kuipers | 4:33.50 (29 h2) | — | |||
| 30 | Jehanara Nabi | 4:37.93 (30 h1) | — | |||
| 31 | Bianca Mitchell | 4:45.89 (31 h1) | — | |||
| 32 | Therese Soukup | 4:46.09 (32 h1) | — | |||
| 33 | Arianna Lont | 5:19.07 (33 h1) | — | |||
| 34 | Keana Santos | 5:28.52 (34 h1) | — | |||
| DNS | Talita Te FlanDNS | — (DNS h2) | — | 
| Pos | Athlete(s) | Country | Mark | |
|---|---|---|---|---|
| 30 | Jehanara Nabi | 4:37.93 | ||
| 31 | Bianca Mitchell | 4:45.89 | ||
| 32 | Therese Soukup | 4:46.09 | ||
| 33 | Arianna Lont | 5:19.07 | ||
| 34 | Keana Santos | 5:28.52 | 
| Pos | Athlete(s) | Country | Mark | |
|---|---|---|---|---|
| 19 | Han Da-Gyeong | 4:13.29 | ||
| 21 | Helena Bach | 4:13.36 | ||
| 23 | Gan Ching Hwee | 4:15.20 | ||
| 24 | Paula Otero | 4:18.90 | ||
| 25 | Zhanet Angelova | 4:20.60 | ||
| 26 | Kamonchanok Kwanmuang | 4:27.01 | ||
| 27 | Võ Thị Mỹ Tiên | 4:29.00 | ||
| 28 | Jamila Boulakbech | 4:32.54 | ||
| 29 | Natalia Kuipers | 4:33.50 | ||
| DNS | Talita Te FlanDNS | — | 
| Pos | Athlete(s) | Country | Mark | |
|---|---|---|---|---|
| 6 | Erika Fairweather | 4:06.00 | ||
| 7 | Tang Muhan | 4:06.29 | ||
| 8 | Isabel Gose | 4:06.44 | ||
| 9 | Miyu Namba | 4:08.07 | ||
| 10 | Li Bingjie | 4:08.25 | ||
| 11 | Waka Kobori | 4:08.55 | ||
| 13 | Eve Thomas | 4:09.49 | ||
| 14 | Freya Anderson | 4:11.82 | ||
| 15 | Katja Fain | 4:12.05 | ||
| 18 | Freya Colbert | 4:12.80 | 
| Pos | Athlete(s) | Country | Mark | |
|---|---|---|---|---|
| 1 | Katie Ledecky | 3:59.79 | ||
| 2 | Summer McIntosh | 4:03.19 | ||
| 3 | Lani Pallister | 4:03.71 | ||
| 4 | Kiah Melverton | 4:03.74 | ||
| 5 | Leah Smith | 4:04.43 | ||
| 12 | Ajna Késely | 4:09.09 | ||
| 16 | Gabi Roncatto | 4:12.09 | ||
| 17 | Marlene Kahler | 4:12.55 | ||
| 20 | Valentine Dumont | 4:13.33 | ||
| 22 | Bettina Fábián | 4:14.06 | 
| Pos | Athlete(s) | Country | Mark | |
|---|---|---|---|---|
| 1 | Katie Ledecky | 3:58.15 | ||
| 2 | Summer McIntosh | 3:59.39 | ||
| 3 | Leah Smith | 4:02.08 | ||
| 4 | Lani Pallister | 4:02.16 | ||
| 5 | Isabel Gose | 4:03.47 | ||
| 6 | Erika Fairweather | 4:04.73 | ||
| 7 | Kiah Melverton | 4:05.62 | ||
| 8 | Tang Muhan | 4:10.70 |