| # | Runner | Time |
|---|---|---|
| 1 | Catherine DebrunnerSwitzerland | 1:37:15 |
| 2 | Eden Rainbow-CooperGreat Britain | 1:41:13 |
| 3 | Zhou ZhaoqianChina | 1:41:13 |
| 4 | Tatyana McFaddenUnited States | 1:41:15 |
| 5 | Vanessa Cristina de SouzaBrazil | 1:41:20 |
Times in Sydney time (AEDT). Results: Wikipedia, “2026 Tokyo Marathon”, CC BY-SA 4.0. Unofficial, updated after the event.
