| 1 | Kristina Shumekova (A2) | KAZ | 4:13.08 | TR, SB | - | 60 |
| 2 | Lieke Huizink (A2) | NED | 4:16.92 | PB | +3.840 | 54 |
| 3 | Jiamin Jiang (A1) | CHN | 4:20.59 | SB | +7.510 | 48 |
| 4 | Ayano Sekiguchi (B2) | JPN | 4:21.91 | | +8.830 | 43 |
| 5 | Hanna Mazur (A1) | POL | 4:22.85 | | +9.770 | 40 |
| 6 | Ying Zhu (A2) | CHN | 4:24.65 | | +11.570 | 38 |
| 7 | Emilia Zawisza (A2) | POL | 4:24.76 | | +11.680 | 36 |
| 8 | Kaede Kojima (A2) | JPN | 4:24.93 | SB | +11.850 | 34 |
| 9 | Noemi Libralesso (A2) | ITA | 4:25.29 | PB | +12.210 | 32 |
| 10 | Tae-Hee.08 Kim (B2) | KOR | 4:25.56 | PB | +12.480 | 31 |
| 11 | Eun-Song Lim (B2) | KOR | 4:25.65 | PB | +12.570 | 30 |
| 12 | Jian Heo (A1) | KOR | 4:27.24 | | +14.160 | 29 |
| 13 | Kokoro Mitsui (A1) | JPN | 4:27.49 | | +14.410 | 28 |
| 14 | Mia Meinig (A1) | GER | 4:29.17 | | +16.090 | 27 |
| 15 | Naomi Kammeraat (A1) | NED | 4:30.31 | | +17.230 | 26 |
| 16 | Mika Louise Brandt (B2) | GER | 4:32.86 | | +19.780 | 25 |
| 17 | Paula Espin Real (B2) | ESP | 4:35.88 | | +22.800 | 24 |
| 18 | Lovisia Olstad Grinden (A1) | NOR | 4:37.47 | SB | +24.390 | 23 |
| 19 | Sara Hluskova (A1) | CZE | 4:38.68 | | +25.600 | 22 |
| 20 | Lilla Sándor (A1) | HUN | 4:39.76 | | +26.680 | 21 |
| 21 | Veronika Dykastova (A1) | CZE | 4:40.60 | PB | +27.520 | 20 |
| 22 | Luna Díaz Barragán (A2) | COL | 4:42.36 | | +29.280 | 19 |
| 23 | Uljana Khotsjuna (B1) | UKR | 4:43.73 | | +30.650 | 18 |
| 24 | Monika Pracharova (A2) | CZE | 4:44.16 | | +31.080 | 17 |
| 25 | Linnea Melgårdshagen (B2) | NOR | 4:45.28 | | +32.200 | 16 |
| 26 | Kateryna Demydenko (B1) | AUT | 4:49.06 | | +35.980 | 15 |
| 27 | Clara Correia Cruz Pereira (A1) | POR | 4:49.75 | | +36.670 | 14 |
| 28 | Lisa Zimmerling (B2) | AUT | 4:50.19 | PB | +37.110 | 13 |
| 29 | Lena Budzan (B2) | POL | 4:50.59 | | +37.510 | 12 |
| 30 | Irina Platona (A1) | ROU | 4:51.12 | | +38.040 | 11 |
| 31 | Lara Castro Nortier (B2) | POR | 4:51.73 | | +38.650 | 10 |
| 32 | Josephine Grill (A1) | SWE | 4:52.19 | | +39.110 | 9 |
| 33 | Meri-Vuokko Hannula (A2) | FIN | 4:52.80 | | +39.720 | 8 |
| 34 | Keeley Whitcomb (A1) | USA | 4:56.12 | | +43.040 | 7 |
| 35 | Beyonce Andersson (B2) | SWE | 4:58.85 | | +45.770 | 6 |
| 36 | Alice Lundberg (A1) | SWE | 5:01.05 | SB | +47.970 | 5 |
| 37 | Sofia Gerber Della Pietra (B2) | AUT | 5:03.81 | SB | +50.730 | 4 |
| 38 | Mireia Tellez (A1) | ESP | 5:12.57 | | +59.490 | 3 |
| DQ | Sunniva Haug Johannessen (B1) | NOR | DQ | | - | |