1 | People's Republic of China | CHN | 3:54.01 (1 h3) | 3:49.33 (1) | Gold | | |
| He Yun • Li Guangyuan • Li Zhuhao • Qiu Yuhan • Shen Duo • Yu Hexin • Zhang Yufei • Zhang Zhihao |
2 | Russian Federation | RUS | 3:54.71 (2 h3) | 3:50.86 (2) | Silver | | |
| Anton Chupkov • Irina Prikhodko • Aleksandr Sadovnikov • Darya Ustinova |
3 | Australia | AUS | 3:55.34 (3 h3) | 3:52.45 (3) | Bronze | | |
| Grayson Bell • Nic Brown • Kyle Chalmers • Amy Forrester • Ami Matsuo • Brianna Throssell |
4 | Brazil | BRA | 3:59.91 (1 h2) | 3:53.93 (4) | | | |
| Natalia de Luccas • Andreas Mickosz • Matheus Santana • Giovanna Diamante |
5 | South Africa | RSA | 3:57.44 (1 h1) | 3:54.86 (5) | | | |
| Jarred Crous • Marlies Ross • Joshua Steyn • Nathania van Niekerk |
6 | Great Britain | GBR | 3:58.80 (4 h3) | 3:58.32 (6) | | | |
| Charlotte Atkinson • Georgina Evans • Luke Greenbank • Miles Munro • Duncan Scott |
7 | Czech Republic | CZE | 4:00.27 (2 h2) | 3:59.63 (7) | | | |
| Tereza Grusová • Petr Novák • Vojtěch Simbartl • Lucie Svěcená |
8 | Spain | ESP | 3:58.95 (2 h1) | 3:59.71 (8) | | | |
| Gonzalo Carazo • Juan Marín • Guillermo Sánchez • Laura Yus • África Zamorano |
9 | Japan | JPN | 4:00.73 (5 h3) | – | | | |
| Jurina Shiga • Koki Tsunefuka • Ippei Watanabe • Rina Yoshimura |
10 | Norway | NOR | 4:01.25 (3 h2) | – | | | |
| Henrik Christiansen • Elise Olsen • Armin Porobic • Sofie Reisænen |
11 | United States | USA | 4:01.27 (3 h1) | – | | | |
| Patrick Conaton • Meghan Small • Clara Smiddy • Justin Wright |
12 | Netherlands | NED | 4:02.16 (4 h2) | – | | | |
| Laurent Bams • Esmee Bos • Kim Busch • Mathys Goosen |
13 | Republic of Korea | KOR | 4:02.99 (5 h2) | – | | | |
| Kim Jae-Youn • Park Jin-Yeong • Song Suk-Gyu • Yang Ji-Won |
14 | Sweden | SWE | 4:03.09 (4 h1) | – | | | |
| Isak Eliasson • Petter Fredriksson • Sophie Hansson • Jaqueline Hippi |
15 | New Zealand | NZL | 4:03.52 (6 h3) | – | | | |
| Gabrielle Fa'Amausili • Jacob Garrod • Bobbi Gichard • Michael Mincham |
16 | Canada | CAN | 4:05.06 (7 h3) | – | | | |
| Javier Acevedo • Colin Gilbert • Danielle Hanus • Kelsey Wog |
17 | Slovenia | SLO | 4:06.32 (6 h2) | – | | | |
| Nastja Govejšek • Tjaša Pintar • Žan Pogačar • Grega Popovic |
18 | Hong Kong, China | HKG | 4:10.03 (7 h2) | – | | | |
| Sutton Choi • Siobhán Haughey • Lau Shiu Yue • Jamie Yeung |
DQ | France | FRA | – (DQ h2) | – | | | |
| Jean Dencausse • Guillaume Laure • Pauline Mahieu • Camille Wishaupt |
DQ | Finland | FIN | – (DQ h3) | – | | | |
| Silja Kansakoski • Carita Luukkanen • Jakob Nordman • Adam Vik |