| 1 |  | Anna Kiesenhofer |  | Österreich | 3:52:45h |
| 2 |  | Annemiek van Vleuten |  | Niederlande | +1:15m |
| 3 |  | Elisa Longo Borghini |  | Italien | +1:29m |
| 4 |  | Lotte Kopecky |  | Belgien | +1:39m |
| 5 |  | Marianne Vos | | Niederlande | +1:46m |
| 6 |  | Lisa Brennauer |  | Deutschland | +1:46m |
| 7 |  | Coryn Rivera |  | USA | +1:46m |
| 8 |  | Marta Cavalli | | Italien | +1:46m |
| 9 |  | Olga Zabelinskaya |  | Russian Olympic Committee | +1:46m |
| 10 |  | Cecilie Uttrup Ludwig |  | Dänemark | +1:46m |
| 11 |  | Elizabeth Deignan |  | Großbritannien | +1:46m |
| 12 |  | Margarita Victoria Garcia |  | Spanien | +1:46m |
| 13 |  | Ashleigh Moolman-Pasio |  | Südafrika | +1:46m |
| 14 |  | Katarzyna Niewiadoma |  | Polen | +1:46m |
| 15 |  | Anna van der Breggen | | Niederlande | +1:46m |
| 16 |  | Karol-Ann Canuel |  | Kanada | +2:20m |
| 17 |  | Alena Amialiusik |  | Belarus | +2:20m |
| 18 |  | Marta Lach | | Polen | +2:28m |
| 19 |  | Eugenia Bujak |  | Slowenien | +2:28m |
| 20 |  | Christine Majerus |  | Luxemburg | +2:28m |
| 21 |  | Eri Yonamine |  | Japan | +2:28m |
| 22 |  | Paula Patiño |  | Kolumbien | +2:30m |
| 23 |  | Liane Lippert | | Deutschland | +2:32m |
| 24 |  | Omer Shapira |  | Israel | +2:38m |
| 25 |  | Demi Vollering | | Niederlande | +2:56m |
| 26 |  | Tiffany Cromwell |  | Australien | +2:56m |
| 27 |  | Anna Plichta | | Polen | +3:13m |
| 28 |  | Ane Santesteban | | Spanien | +3:19m |
| 29 |  | Leah Thomas | | USA | +3:22m |
| 30 |  | Juliette Labous |  | Frankreich | +3:22m |
| 31 |  | Chloé Dygert | | USA | +6:06m |
| 32 |  | Alison Jackson | | Kanada | +7:02m |
| 33 |  | Tereza Neumanova |  | Tschechien | +7:02m |
| 34 |  | Arlenis Sierra |  | Kuba | +7:02m |
| 35 |  | Rasa Leleivyte |  | Litauen | +7:02m |
| 36 |  | Leah Kirchmann | | Kanada | +7:02m |
| 37 |  | Katrine Aalerud |  | Norwegen | +7:07m |
| 38 |  | Ahreum Na |  | Südkorea | +8:23m |
| 39 |  | Tamara Dronova-Balabolina | | Russian Olympic Committee | +8:23m |
| 40 |  | Sarah Gigante | | Australien | +8:23m |
| 41 |  | Hannah Ludwig | | Deutschland | +8:23m |
| 42 |  | Julie Van de Velde | | Belgien | +8:23m |
| 43 |  | Hiromi Kaneko | | Japan | +8:23m |
| 44 |  | Marta Bastianelli | | Italien | +9:31m |
| 45 |  | Ruth Edwards | | USA | +9:31m |
| 46 |  | Marlen Reusser |  | Schweiz | +9:31m |
| 47 |  | Grace Brown | | Australien | +9:31m |
| 48 |  | Soraya Paladin | | Italien | +15:55m |
| 49 |  | Anna Shackley | | Großbritannien | DNF |
| 49 |  | Stine Borgli | | Norwegen | DNF |
| 49 |  | Selam Amha |  | Äthiopien | DNF |
| 49 |  | Mosana Debesay |  | Eritrea | DNF |
| 49 |  | Trixi Worrack | | Deutschland | DNF |
| 49 |  | María José Vargas |  | Costa Rica | DNF |
| 49 |  | Jiajun Sun |  | China | DNF |
| 49 |  | Lizbeth Salazar |  | Mexiko | DNF |
| 49 |  | Carla Oberholzer | | Südafrika | DNF |
| 49 |  | Emma Norsgaard | | Dänemark | DNF |
| 49 |  | Catalina Soto |  | Chile | DNF |
| 49 |  | Teniel Campbell |  | Trinidad & Tobago | DNF |
| 49 |  | Agua Marina Espínola |  | Paraguay | DNF |
| 49 |  | Antri Christoforou |  | Zypern | DNF |
| 49 |  | Valeriya Kononenko |  | Ukraine | DNF |
| 49 |  | Amanda Spratt | | Australien | DNF |
| 49 |  | Jutatip Maneephan |  | Thailand | DNF |
| 49 |  | Valerie Demey | | Belgien | DNF |
| 49 |  | Vera Looser |  | Namibia | DNF |
