| 1 | Sofia Beggin / Chiara Teocchi |  ITA | 248 | 40 (5) | 50 (4) | 12 (12) | 80 (2) | 65 (3) | Gold | | |
| 2 | Nikola Nosková / Barbora Průdková |  CZE | 230 | 100 (1) | – (25) | – (18) | 100 (1) | 30 (6) | Silver | | |
| 3 | Anna Kjaergaard Madsen / Pernille Mathiesen |  DEN | 225 | 80 (2) | 65 (3) | – (24) | 65 (3) | 15 (9) | Bronze | | |
| 4 | Domenica Azuero / Esther Galarza |  ECU | 200 | – (18) | – (21) | 200 (1) | – (21) | – (47) | | | |
| 5 | Lotte Eikelenboom / Viviana van Hees |  NED | 161 | – (DNS) | – (19) | 160 (2) | 1 (16) | – (42) | | | |
| 6 | Andrea Escobar / Leidy Mera |  COL | 145 | – (17) | – (20) | 130 (3) | 15 (9) | – (39) | | | |
| 7 | Mari-Liis Mõttus / Karolin Varblane |  EST | 139 | 65 (3) | 30 (6) | 2 (16) | 40 (5) | 2 (15) | | | |
| 8 | Takaho Nakashima / Kiyoka Sakaguchi |  JPN | 124 | 6 (12) | 100 (1) | 8 (13) | – (19) | 10 (10) | | | |
| 9 | Ema Manikaitė / Ernesta Strainytė |  LTU | 124 | 8 (11) | – (18) | 16 (11) | – (20) | 80 (2) | | | |
| 10 | Anzhelika Teterych / Daryna Tkachova |  UKR | 113 | 3 (14) | 10 (10) | 50 (7) | 50 (4) | – (30) | | | |
| 11 | Nina Janušíková / Tereza Medveďová |  SVK | 108 | 4 (13) | 80 (2) | – (19) | 20 (8) | 4 (13) | | | |
| 12 | Ana Paula Casetta / Renata Lopes |  BRA | 103 | – (DNF) | 3 (14) | – (22) | – (25) | 100 (1) | | | |
| 13 | Relebohile Annastacia Pebane / Maia Rawlins |  RSA | 101 | 1 (16) | – (29) | 100 (4) | – (27) | – (54) | | | |
| 14 | María Alejandra Peinado |  BOL | 80 | – (25) | – | 80 (5) | – (DNS) | – (DNF) | | | |
| 15 | Katja Jeretina / Anita Žnidaršič |  SLO | 75 | – (27) | 25 (7) | – (20) | – (23) | 50 (4) | | | |
| 16 | Lilla Megyaszai / Zsanett Tolnai |  HUN | 74 | 50 (4) | – (24) | 20 (10) | 4 (13) | – (18) | | | |
| 17 | Kimberley Le Court De Billot / Milena Line Wong Wing Wah |  MRI | 73 | – (28) | 8 (11) | – (30) | 25 (7) | 40 (5) | | | |
| 18 | Jelena Erić / Milica Rakić |  SRB | 72 | 30 (6) | 6 (12) | – (25) | 30 (6) | 6 (12) | | | |
| 19 | Fiorella Bosch / Luisina Pesce |  ARG | 70 | 2 (15) | – (28) | 60 (6) | 8 (11) | – (46) | | | |
| 20 | Femke Van Den Driessche / Laura Verdonschot |  BEL | 67 | 25 (7) | 1 (16) | 6 (14) | 10 (10) | 25 (7) | | | |
| 21 | Elisabet Escursell / María Rodríguez |  ESP | 62 | 20 (8) | 2 (15) | 40 (8) | – (17) | – (24) | | | |
| 22 | Melanie Amann / Nadja Heigl |  AUT | 51 | 15 (9) | – (17) | 30 (9) | 3 (14) | 3 (14) | | | |
| 23 | Dayana García / Brenda Santoyo |  MEX | 42 | – (20) | 40 (5) | – (21) | 2 (15) | – (21) | | | |
| 24 | Marta Sachanka / Hanna Simakovich |  BLR | 28 | – (21) | 20 (8) | – (23) | – (DNF) | 8 (11) | | | |
| 25 | Sun Jiajun / Tan Jiale |  CHN | 15 | – (DNF) | 15 (9) | – (28) | – (26) | – (23) | | | |
| 26 | Agata Drozdek / Natalia Nowotarska |  POL | 10 | 10 (10) | – (31) | – (27) | – (22) | – (19) | | | |
| 27 | Ana Lopes / Ana Sofia Silvestre |  POR | 10 | – (23) | – (23) | 4 (15) | 6 (12) | – (25) | | | |
| 28 | Daryorie Arrieche / Andrea Contreras |  VEN | 4 | – (26) | 4 (13) | – (26) | – (DNF) | – (33) | | | |
| 29 | Tatyana Geneleva / Viktoriya Pastarnak |  KAZ | 0 | – (22) | – (22) | – (17) | – (18) | – (20) | | | |
| 30 | Mary Burge / Joanne Rodríguez |  GUA | 0 | – (19) | – (30) | – (DNS) | – (24) | – (41) | | | |
| 31 | Yasmine El-Meddah / Nour El-Houda Megherbi |  ALG | 0 | – (24) | – (27) | – (29) | – (28) | – (51) | | | |
| 32 | Clementine Niyonsaba / Benitha Uwamariya |  RWA | 0 | – (DNS) | – (26) | – (31) | – (DNS) | – (44) | | | |