| Final 21:26 | | time | | gap | L | | 1. |  Australia | 3:30.64 | | | 4 | 1. | | | Madison Wilson 53.22s, Shayna Jack 52.72s, Mollie O'Callaghan 52.66s, Emma McKeon 52.04s | | 2. |  England | 3:36.62 | | | 3 | 2. | | | Anna Hopkin 53.81s, Abbie Wood 54.28s, Isabella Hindley 55.10s, Freya Anderson 53.43s | | 3. |  Canada | 3:37.25 | | | 5 | 3. | | | Summer McIntosh 54.62s, Katerine Savard 54.44s, Rebecca Smith 55.08s, Maggie Mac Neil 53.11s | | 4. |  South Africa | 3:40.31 | | | 7 | 4. | | | Aimee Canny 54.84s, Emma Chelius 55.14s, Olivia Nel 55.60s, Erin Gallagher 54.73s | | 5. |  Scotland | 3:41.38 | | | 2 | 5. | | | Lucy Hope 55.24s, Emma Russell 55.45s, Tain Bruce 55.20s, Evie Davis 55.49s | | 6. |  Northern Ireland | 3:47.24 | | | 6 | 6. | | | Victoria Catterson 55.21s, Grace Davison 57.66s, Mollie McAlorum 58.58s, Danielle Hill 55.79s | | 7. |  Guernsey | 3:59.17 | | | 1 | 7. | | | Laura le Cras 1:00.96, Molly Staples 1:00.41, Tatiana Tostevin 59.34s, Orla Rabey 58.46s |
| 28 Competitors from 7 Nations. | | World and Commonwelth Record : Australia (Bronte Campbell, Meg Harris, Emma McKeon, Cate Campbell 3:29.69 Tokyo, Japan 25 July 2021 | | Commonwealth Games Record: Australia (Shayna Jack, Bronte Campbell, Emma McKeon, Cate Campbell 3:30.05 Gold Coast, Australia 5 April 2018 |
| All Commonwealth Games Winners | | 1930: J. Cooper, D. Cooper, Joynes, Harding (ENG) 4x100yd | | 1934: Dewar, Humble, Hutton, Pirie (CAN) 4x110yd | | 1938: Oxenbury, Lyon, Baggaley, Dewar (CAN) 4x110yd | | 1950: Spencer, Norton, Davies, McQuade (AUS) 4x110yd | | 1954: Loveday, Harrison, Petzer, Myburgh (SAF) 4x110yd | | 1958: Colquhoun, Fraser, Crapp, Morgan (AUS) 4x110yd | | 1962: Fraser, Bell, Thorn, Everuss (AUS) 4x110yd | | 1966: Tanner, Hughes, Kennedy, Lay (CAN) 4x110yd | | 1970: Cain, Langford, Watts, Watson (AUS) | | 1974: Jardin, Smith, Amundrud, Wright (CAN) | | 1978: Klimpel, Amundrud, Sloan, Quirk (CAN) | | 1982: Gore, Willmott, Croft, Fibbens (ENG) | | 1986: Nugent, Kerr, Rai, Noall (CAN) | | 1990: Mullens, Wirdum, Curry-Kenny, O'Neill (AUS) | | 1994: Windsor, Lewis, Stevenson, O'Neill (AUS) | | 1998: Rooney, Denman, Thomas, O'Neill (AUS) | | 2002: Mills, Henry, Thomas, Ryan (AUS) | | 2006: Lenton, Henry, Mills, Reese (AUS) | | 2010: Coutts, Guehrer, Galvez, Seebohm (AUS) | | 2014: B. Campbell, Schlanger, McKeon, C. Campbell (AUS) | | 2018: Jack, B. Campbell, McKeon, C. Campbell (AUS) | | 2022: Wilson, Jack, O'Callaghan, McKeon (AUS) |
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