| # | Runner | Time |
|---|---|---|
| 1 | Brigid KosgeiKenya | 2:14:29 |
| 2 | Bertukan WeldeEthiopia | 2:16:36 |
| 3 | Hawi FeysaEthiopia | 2:17:39 |
| 4 | Sutume Asefa KebedeEthiopia | 2:17:39 |
| 5 | Alemu MegertuEthiopia | 2:18:50 |
| 6 | Viola CheptooKenya | 2:19:05 |
| 7 | Mestawot FikirEthiopia | 2:20:00 |
| 8 | Aberu AyanaEthiopia | 2:20:30 |
| 9 | Pascalia JepkogeiKenya | 2:21:39 |
| 10 | Ai HosodaJapan | 2:23:39 |
Times in Sydney time (AEDT). Results: Wikipedia, “2026 Tokyo Marathon”, CC BY-SA 4.0. Unofficial, updated after the event.
