| Final 20:24 | time | | | 1. Japan |  JPN | 7:06.74 | GR | | Yuki Kobori | 1:47.15 | | | Kosuke Hagino | 1:44.97 | | | Daiya Seto | 1:47.45 | | | Takeshi Matsuda | 1:47.17 | | | 2. China |  CHN | 7:16.51 | | Li Yunqi | 1:49.60 | | | Lin Yongqing | 1:48.54 | | | Mao Feilian | 1:49.23 | | | Xu Qiheng | 1:49.14 | | | 3. Singapore |  SGP | 7:25.46 | | Danny Yeo | 1:49.68 | | | Pang Sheng Jun | 1:51.79 | | | Teo Zhen Ren | 1:52.79 | | | Clement Lim | 1:51.20 | | | 4. Chinese Taipei |  TPE | 7:29.28 | | Wang Yu-lian | 1:50.39 | | | Wen Ren-hau | 1:54.68 | | | Hsiao Fu-yu | 1:52.20 | | | Huang Yen-hsin | 1:52.01 | | | 5. India |  IND | 7:34.50 | | Aaron D'Souza | 1:51.67 | | | Sajan Prakash | 1:53.45 | | | Neil Contractor | 1:54.29 | | | Saurabh Sangvekar | 1:55.09 | | | 6. Hong Kong |  HKG | 7:34.57 | | Derick Ng | 1:54.44 | | | Kong Kei Koi | 1:54.08 | | | Kent Cheung | 1:52.54 | | | David Wong | 1:53.51 | | | 7. Macau |  MAC | 8:00.83 | | Ngou Pok Man | 1:55.18 | | | Chou Kit | 2:00.93 | | | Lao Kuan Fong | 2:04.98 | | | Chao Man Hou | 1:59.74 | | | DQ. South Korea |  KOR | 7:21.37 | | Nam Ki-woong | 1:51.78 | | | Yang June-hyuck | 1:49.07 | | | Jeong Jeong-soo | 1:50.78 | | | Park Tae-hwan | 1:49.74 | |
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| Venue: Muhak Park Tae-hwan Aquatics Center. | | South Korea originally won the bronze medal, but was later disqualified after Park Tae-hwan tested positive for Nebido. |
| World record: United States 6:58.55 Rome, Italy 31 July 2009 | | Asian record: Japan 7:02.26 Rome, Italy 31 July 2009 | | Games record: China 7:07.68 Guangzhou, China 15 November 2010 |
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