| Final Ranking | time | gap |   | bib |  | 1. Antonella Palmisano |   Italy | 1:29:12 |   |   | 110 |  | 2. Sandra Arenas |   Colombia | 1:29:37 | +0:25 | _ ~~ | 32 |  | 3. Liu Hong |   China | 1:29:57 | +0:45 | _ ~~ | 20 |  | 4. María Pérez |   Spain | 1:30:05 | +0:53 |   | 57 |  | 5. Alegna González |   Mexico | 1:30:33 | +1:21 |   | 139 |  | 6. Jemima Montag |   Australia | 1:30:39 | +1:27 | _ ~ | 3 |  | 7. Qieyang Shijie |   China | 1:31:04 | +1:52 |   | 22 |  | 8. Antigoni Drisbioti |   Greece | 1:31:24 | +2:12 | SB | 82 |  | 9. Paola Pérez |   Ecuador | 1:31:26 | +2:14 | _ ~~ | 48 |  | 10.Katarzyna Zdziebło |   Poland | 1:31:29 | +2:17 |   | 155 |  | 11.Érica de Sena |   Brazil | 1:31:39 | +2:27 | _ ~~ ~ | 14 |  | 12.Yang Jiayu |   China | 1:31:54 | +2:42 | _ ~~ ~ | 23 |  | 13.Nanako Fujii |   Japan | 1:31:55 | +2:43 |   | 120 |  | 14.Raquel González |   Spain | 1:31:57 | +2:45 | _ ~ | 56 |  | 15.Kumiko Okada |   Japan | 1:31:57 | +2:45 |   | 122 |  | 16.Elvira Khasanova |   ROC | 1:31:58 | +2:46 | _ ~~ | 162 |  | 17.Priyanka Goswami |   India | 1:32:36 | +3:24 | _ ~ | 100 |  | 18.Valentina Trapletti |   Italy | 1:33:12 | +4:00 |   | 111 |  | 19.Mariia Sakharuk |   Ukraine | 1:34:04 | +4:52 |   | 180 |  | 20.Ana Cabecinha |   Portugal | 1:34:08 | +4:56 | SB | 160 |  | 21.Noelia Vargas |   Costa Rica | 1:35:07 | +5:55 |   | 41 |  | 22.Meryem Bekmez |   Turkey | 1:35:08 | +5:56 |   | 173 |  | 23.Anastasiya Rarouskaya |   Belarus | 1:35:09 | +5:57 | _ ~ | 8 |  | 24.Mary Luz Andía |   Peru | 1:35:25 | +6:13 |   | 150 |  | 25.Sandra Galvis |   Colombia | 1:35:36 | +6:24 | _ ~~ | 34 |  | 26.Brigita Virbalytė |   Lithuania | 1:35:56 | +6:44 | 136 |  | 27.Hanna Shevchuk |   Ukraine | 1:36:27 | +7:15 | _ ~~ | 181 |  | 28.Karla Jaramillo |   Ecuador | 1:36:32 | +7:20 | _ ~ | 46 |  | 29.Kiriaki Filtisakou |   Greece | 1:36:51 | +7:39 |   | 83 |  | 30.Tereza Ďurdiaková |   Czechia | 1:36:58 | +7:46 |   | 43 |  | 31.Anna Terlyukevich |   Belarus | 1:37:22 | +8:10 | _ ~ | 10 |  | 32.Bhawna Jat |   India | 1:37:38 | +8:26 | _ ~ | 99 |  | 33.Robyn Stevens |   United States | 1:37:42 | +8:30 | _ >~ | 190 |  | 34.Laura García-Caro |   Spain | 1:37:48 | +8:36 | _ ~~ ~ | 55 |  | 35.Ching Siu Nga |   Hong Kong | 1:37:53 | +8:41 | _ > | 94 |  | 36.Leydi Guerra |   Peru | 1:38:10 | +8:58 | _ ~~ | 152 |  | 37.Katie Hayward |   Australia | 1:38:11 | +8:59 | _ ~~ | 1 |  | 38.Rebecca Henderson |   Australia | 1:38:21 | +9:09 | _ ~ | 2 |  | 39.Ayşe Tekdal |   Turkey | 1:38:40 | +9:28 |   | 175 |  | 40.Kaori Kawazoe |   Japan | 1:39:31 | +10:19 |   | 121 |  | 41.Evin Demir |   Turkey | 1:39:55 | +10:43 |   | 174 |  | 42.Ayman Ratova |   Kazakhstan | 1:40:02 | +10:50 |   | 131 |  | 43.Lyudmila Olyanovska |   Ukraine | 1:40:20 | +11:08 |   | 179 |  | 44.Mirna Ortiz |   Guatemala | 1:40:23 | +11:11 |   | 86 |  | 45.Mária Czaková |   Slovakia | 1:41:29 | +12:17 | >~ | 168 |  | 46.Barbara Kovács |   Hungary | 1:41:49 | +12:37 |   | 95 |  | 47.Valeria Ortuño |   Mexico | 1:41:50 | +12:38 | _ ~~ | 141 |  | 48.Ángela Castro |   Bolivia | 1:42:25 | +13:13 |   | 13 |  | 49.Viktoryia Rashchupkina |   Belarus | 1:43:33 | +14:21 |   | 9 |  | 50.Mayra Herrera |   Guatemala | 1:44:30 | +15:18 | _ ~~ ~ | 87 |  | 51.Ilse Guerrero |   Mexico | 1:45:47 | +16:35 |   | 140 |  | 52.Eleonora Giorgi |   Italy | 1:46:36 | +17:24 | _ ~> | 109 |  | 53.Panagiota Tsinopoulou |   Greece | 1:47:19 | +18:07 | _ > | 84 |  | -. Kimberly García |   Peru | DNF |   | _ ~ | 151 |  | -. Viktória Madarász |   Hungary | DNF |   |   | 96 |  | -. Saskia Feige |   Germany | DNF |   |   | 73 |  | -. Glenda Morejón |   Ecuador | DNF |   |   | 47 |  | -. Yehualeye Beletew |   Ethiopia | DNF |   |   | 64 |   
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|   |  | Venue: Sapporo Odori Park |  | Quota: 60 competitors from -- nations. |  | Qualifiyng Standard: Standard: 1:31.00 |  | Qualification |  | Start Time: 16:30. 31 C. Hum: 64% Low-level Cloud. |  | End 30 C. Hum: 69% Partly Cloudy. |   
| World record: Yang Jiayu (CHN) 1:23:49 Huangshan, China 20 March 2021 |  | Olympic record: Elena Lashmanova (RUS) 1:25:02 London, United Kingdom 11 August 2012 |   
|  Intermediate times |  | 2km | 9:25 | Erica Sena (BRA) |  | 4km | 18:31 | Antonella Palmisano (ITA) |  | 6km | 27:37 | Yang Jiayu (CHN) |  | 8km | 36:49 | Priyanka Goswami (IND) |  | 10km | 45:57 | Antonella Palmisano (ITA) |  | 12km | 55:01 | Jemima Montag (AUS) |  | 14km | 1:04:04 | Antonella Palmisano (ITA) |  | 16km | 1:12:45 | Antonella Palmisano (ITA) |  | 18km | 1:21:00 | Antonella Palmisano (ITA) |   
| _ > - Bent knee |  | _ ~ - Loss of contact |  | 3 Red Cards - Penalty Zone 120s |   
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 |   |  | Maximum 3 athletes per NOC. Qualifiyng Standard: 1:31.00. Quota 60 Athletes. |  | Qualifiying period 01.01.2019 - 29.06.2020.  |   
| NOC | N |   |   |   |    China | 3 |  qualified more than 3 athletes, subject to choice of NOC |    Peru | 3 | Mary Luz Andia | Kimberly García | Leyde Guerra |    Russia | 3 |  qualified more than 3 athletes, subject to choice of NOC |    Spain | 3 | Laura García-Caro | Raquel González | María Pérez |    Australia | 2 | Katie Hayward | Jemima Montag |    Colombia | 2 | Sandra Arenas | Sandra Galvis |    Italy | 2 | Eleonora Dominici | Eleonora Anna Giorgi |    Japan | 2 | Nanako Fujii | Kumiko Okada |    Mexico | 2 | Alegna González | Ilse Guerrero |    Belarus | 1 | Viktoryia Rashchupkina |   |    Brazil | 1 | Érica de Sena |   |    Ecuador | 1 | Glenda Morejón |   |    Germany | 1 | Saskia Feige |   |    Guatemala | 1 | Mirna Ortiz |   |    Lithuania | 1 | Živilė Vaiciukevičiūtė |   |    Turkey | 1 | Meryem Bekmez |   |    Ukraine | 1 | Inna Kashyna |   |   
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| Up to September 8th, 2019 - 30 qualified from 17 NOC's from quota of 60. |   
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