| Name | Mannschaft | Zeit | ||
|---|---|---|---|---|
| 1 |  | Chase Kalisz | Chase Kalisz | 4:09.42m |
| 2 | | Jay Litherland | Jay Litherland | +0.86s |
| 3 |  | Brendon Smith | Brendon Smith | +0.96s |
| 4 |  | David Verraszto | David Verraszto | +1.17s |
| 4 |  | Max Litchfield | Max Litchfield | +1.17s |
| 6 |  | Leon Marchand | Leon Marchand | +1.74s |
| 7 |  | Lewis Clareburt | Lewis Clareburt | +1.80s |
| 8 |  | Alberto Razzetti | Alberto Razzetti | +1.90s |
| # | Land | Gold | Silber | Bronze | Gesamt | |
|---|---|---|---|---|---|---|
| 1 | | USA | 39 | 41 | 33 | 113 |
| 2 |  | China | 38 | 32 | 19 | 89 |
| 3 |  | Japan | 27 | 14 | 17 | 58 |
| 4 | | Grossbritannien | 22 | 20 | 22 | 64 |
| 5 |  | Russian Olympic Committee | 20 | 28 | 23 | 71 |
| 6 | | Australien | 17 | 7 | 22 | 46 |
| 7 |  | Niederlande | 10 | 12 | 14 | 36 |
| 24 |  | Schweiz | 3 | 4 | 6 | 13 |
