| Date | 29 August 1920 — 16:00 | |
|---|---|---|
| Status | Olympic | |
| Location | Zwemstadion van Antwerpen, Antwerpen | |
| Participants | 12 from 3 countries | |
| Format | Final only. | |
With only three teams entered, all swimmers were assured medals, tut the gold medal had been conceded to the Americans, led by Ethelda Bleibtrey. The U.S. victory margin of 29.2 seconds makes this one of the most lopsided victories in Olympic history.
| Pos | Competitors | NOC | Time | |||
|---|---|---|---|---|---|---|
| 1 | United States |  USA | 5:11.6 | Gold | ||
| Lead-off | Margaret Woodbridge | – | ||||
| 2nd Leg | Frances Schroth | – | ||||
| 3rd Leg | Irene Guest | – | ||||
| Anchor | Ethelda Bleibtrey | – | ||||
| 2 | Great Britain |  GBR | 5:40.8 | Silver | ||
| Lead-off | Hilda James | – | ||||
| 2nd Leg | Connie Jeans | – | ||||
| 3rd Leg | Charlotte Radcliffe | – | ||||
| Anchor | Grace McKenzie | – | ||||
| 3 | Sweden |  SWE | 5:43.6 | Bronze | ||
| Lead-off | Aina Berg | – | ||||
| 2nd Leg | Emy Machnow | – | ||||
| 3rd Leg | Carin Nilsson | – | ||||
| Anchor | Jane Gylling | – |
