| Rk | Ranking | time | | L | ___________ | | 1. |  United States | 3:10.73 | CR | 4 | | | Matthew Boling, Lynna Irby-Jackson, Willington Wright, Kendall Ellis | | 2. |  Netherlands | 3:11.45 | SB | 6 | | | Isayah Boers, Lieke Klaver, Isaya Klein Ikkink, Femke Bol | | 3. |  Ireland | 3:11.53 | NR | 7 | | | Cillin Greene, Rhasidat Adeleke, Thomas Barr, Sharlene Mawdsley | | 4. |  Nigeria | 3:12.87 | AR | 8 | | | Samuel Ogazi, Ella Onojuvwewvwo, Chidi Okezie, Esther Elo Joseph | | 5. |  Dominicana | 3:16.88 | | | | | Erik Joel Sánchez, Anabel Medina, Yeral Nuñez, Marileidy Paulino | | 6. |  France | 3:17.38 | | 2 | | | Yann Spillmann, Amandine Brossier, Loïc Prevot, Louise Maraval | | -. |  Belgium | DQ | | 3 | | | Florent Mabille, Imke Vervaet, Christian Iguacel, Camille Laus | | -. |  Poland | DNS | | 5 |
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| World Record and North, Central American and Caribbean Record: United States 3:08.80 Budapest, Hungary 19 August 2023 | | European Record: Poland 3:09.87 Tokyo, Japan 31 July 2021 | | Asian Record: Bahrain 3:11.82 Doha, Qatar 29 September 2019 | | World leading: Nigeria 3:13.26 Accra, Ghana 19 March 2024 | | Championship Record: Bahamas 3:14.42 Nassau, Bahamas 23 April 2017 | | South American Record: Colombia 3:14.48 Mexico City, Mexico 7 April 2024 | | Oceanian Record: Australia 3:17.00 Gold Coast, Australia 12 June 2021 |
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| | Best 2 teams from each of 3 Repechages qualified to Olympic Games Paris 2024 |
| Rk | Repechage Heat 1 | time | | L | ___________ | | 1. |  Bahamas | 3:12.81 | OG, NR | - | | | Steven Gardiner, Shania Adderley, Alonzo Russell, Shaunae Miller-Uibo | | 5. |  Jamaica | 3:14.49 | OG, SB | - | | | Zandrion Barnes, Leah Anderson, Rusheen McDonald, Janieve Russell | | 9. |  South Africa | 3:15.96 | | - | | | Mhti Mthimkulu, Shirley Nekhubui, Lythe Pillay, Zenéy Geldenhuys | | 10. |  Japan | 3:16.02 | SB | - | | | Kentaro Sato, Fuka Idoabigail, Kenki Imaizumi, Yuna Iwata | | 14. |  Guyana | 3:17.65 | | - | | | Daniel Williams, Tianna Springer, Malachi Austin, Aliyah Abrams | | 15. |  Bahrain | 3:18.21 | SB | - | | | Abbas Yusuf Ali, Kemi Adekoya, Abbas Abubakar Abbas, Salwa Eid Naser | | 17. |  Hungary | 3:18.78 | | - | | | Patrik Simon Enyingi, Sára Mátó, Attila Molnár, Janka Molnár | | -. |  Brazil | DNS | | - |
| Rk | Repechage Heat 2 | time | | L | ___________ | | 3. |  Germany | 3:13.85 | OG, SB | - | | | Manuel Sanders, Alica Schmidt, Emil Agyekum, Johanna Martin | | 4. |  Switzerland | 3:14.12 | OG, NR | - | | | Ricky Petrucciani, Annina Fahr, Lionel Spitz, Giulia Senn | | 7. |  Canada | 3:14.66 | PB | - | | | Michael Roth, Lauren Gale, Callum Robinson, Madeline Price | | 12. |  Italy | 3:16.47 | SB | - | | | Lapo Bianciardi, Anna Polinari, Riccardo Meli, Alice Mangione | | 16. |  Kenya | 3:18.76 | | - | | | Kevin Kipkorir, Mercy Chebet, Brian Onyari Tinega, Maureen Nyatichi Thomas | | -. |  Czechia | DNS | | - | | -. |  India | DNS | | - |
| Rk | Repechage Heat 3 | time | | L | ___________ | | 2. |  Great Britain | 3:12.99 | OG, SB | - | | | Brodie Young, Laviai Nielsen, Charles Dobson, Nicole Yeargin | | 6. |  Ukraine | 3:14.49 | OG, SB | - | | | Oleksandr Pohorilko, Tetyana Melnyk, Danylo Danylenko, Anna Ryzhykova | | 8. |  Spain | 3:15.11 | SB | - | | | David García, Bianca Hervas, Julio Arenas, Berta Segura | | 11. |  Botswana | 3:16.39 | | - | | | Anthony Pesela, Obakeng Kamberuka, Boitumelo Masilo, Lydia Jele | | 13. |  Portugal | 3:17.03 | SB | - | | | João Coelho, Cátia Azevedo, Omar Elkhatib, Fatoumata Diallo | | 18. |  Mexico | 3:19.81 | | - | | | Luis Avilés Ferreiro, Mariana Gancedo Ontaneda, Alejandro Diaz, Paola Morán | | 19. |  Colombia | 3:21.29 | | - | | | Nicolas Salinas Sefair, Lina Licona, Jhon Perlaza, Jennifer Gonzalez |
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Heats - Saturday, 4th May | | Best 2 teams ffrom each of 4 Heats qualified to Olympic Games Paris 2024 abd to Final. |
| Rk | Heat 1 | time | | L | ___________ | | 2. | Netherlands | 3:12.16 | Q, OG, CR | 6 | | | Isayah Boers, Lieke Klaver, Isaya Klein Ikkink, Femke Bol | | 8. | Dominicana | 3:14.39 | Q, OG, SB | 5 | | | Alexander Ogando, Anabel Medina, Yeral Nuñez, Marileidy Paulino | | 11. | Jamaica | 3:14.83 | SB | 7 | | | Roshawn Clarke, Leah Anderson, Rusheen McDonald, Janieve Russell | | 12. | Bahamas | 3:14.86 | SB | 3 | | | Alonzo Russell, Shaunae Miller-Uibo, Steven Gardiner, Shania Adderley | | 18. | Germany | 3:16.74 | SB | 4 | | | Marvin Schlegel, Alica Schmidt, Jean Paul Bredau, Johanna Martin | | 26. | Japan | 3:20.92 | SB | 1 | | | Takuho Yoshizu, Nanako Matsumoto, Kenki Imaizumi, Yuna Iwata | | 27. | Colombia | 3:21.07 | | 2 | | | Jhon Perlaza, Jennifer Gonzalez, Nicolas Salinas Sefair, Lina Licona | | 28. | Brazil | 3:28.01 | SB | 8 | | | Tiago Lemes Da Silva, Gabriele Aline Grunow, Douglas Hernandes Mendes, Tabata Vitorino |
| Rk | Heat 2 | time | | L | ___________ | | 1. | United States | 3:11.52 | Q, OG, CR | 7 | | | Matthew Boling, Lynna Irby-Jackson, Ryan Willie, Kendall Ellis | | 7. | Nigeria | 3:13.79 | Q, OG | 6 | | | Samuel Ogazi, Ella Onojuvwewvwo, Chidi Okezie, Esther Elo Joseph | | 15. | South Africa | 3:15.95 | | 8 | | | Mhti Mthimkulu, Shirley Nekhubui, Antonie Matthys Nortje, Zenéy Geldenhuys | | 19. | Hungary | 3:16.80 | SB | 3 | | | Attila Molnár, Sára Mátó, Patrik Simon Enyingi, Janka Molnár | | 20. | Italy | 3:16.88 | SB | 4 | | | Lapo Bianciardi, Alessandra Bonora, Riccardo Meli, Anna Polinari | | 25. | India | 3:20.36 | | 2 | | | Rajesh Ramesh, Rupal, Avinash Krishna Kumar, Jyothika Sri Dandi | | -. | Bahrain | DNF | | 5 | | | Musa Isah, Kemi Adekoya, Abbas Yusuf Ali, Salwa Eid Naser |
| Rk | Heat 3 | time | | L | ___________ | | 3. | Ireland | 3:12.50 | Q, OG, NR | 7 | | | Cillin Greene, Rhasidat Adeleke, Thomas Barr, Sharlene Mawdsley | | 4. | Belgium | 3:13.18 | Q, OG, SB | 6 | | | Jonathan Sacoor, Imke Vervaet, Christian Iguacel, Camille Laus | | 5. | Great Britain | 3:13.52 | SB | 4 | | | Brodie Young, Ama Pipi, Charles Dobson, Laviai Nielsen | | 9. | Switzerland | 3:14.47 | | 3 | | | Ricky Petrucciani, Giulia Senn, Lionel Spitz, Annina Fahr | | 13. | Spain | 3:15.47 | SB | 2 | | | David García, Bianca Hervas, Julio Arenas, Carmen Avilés | | 21. | Guyana | 3:17.31 | SB | 1 | | | Malachi Austin, Aliyah Abrams, Daniel Williams, Tianna Springer | | 22. | Portugal | 3:17.56 | SB | 5 | | | João Coelho, Fatoumata Diallo, Ricardo dos Santos, Cátia Azevedo | | 24. | Kenya | 3:19.90 | | 8 | | | Kennedy Kimeu Muthoki, Mercy Chebet, Kevin Kipkorir, Maureen Nyatichi Thomas |
| Rk | Heat 4 | time | | L | ___________ | | 6. | Poland | 3:13.53 | Q, OG, SB | 4 | | | Maksymilian Szwed, Iga Baumgart-Witan, Kajetan Duszynski, Natalia Kaczmarek | | 10. | France | 3:14.71 | Q, OG, SB | 7 | | | Thomas Jordier, Amandine Brossier, Gilles Biron, Louise Maraval | | 14. | Ukraine | 3:15.70 | SB | 3 | | | Oleksandr Pohorilko, Tetyana Melnyk, Danylo Danylenko, Anna Ryzhykova | | 16. | Czechia | 3:16.56 | SB | 6 | | | Vit Müller, Tereza Petržilková, Patrik ŀorm, Lada Vondrová | | 17. | Canada | 3:16.65 | SB | 2 | | | Tyler Floyd, Lauren Gale, Callum Robinson, Madeline Price | | 23. | Botswana | 3:18:48 | | 5 | | | Busang Collen Kebinatshipi, Lydia Jele, Anthony Pesela, Obakeng Kamberuka | | -. | Mexico | DQ | TR24.6 | 8 | | | Valente Mendoza, Mariana Gancedo Ontaneda, Luis Avilés Ferreiro, Paola Morán |
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