1. Meskerem Assefa, ETH, 2:21:45 (17:03, 33:51, 50:49, 67:49, 71:33, 1:24:37, 1:41:09, 1:57:51, 2:14:37)

2. Valary Jemeli Aiyabei, KEN, 2:22:48

3. Hanami Sekine, JPN, 2:23:07 Debut

4. Reia Iwade, JPN, 2:26:28

5. Keiko Nogami, JPN, 2:26:33 PB

6. Hanae Tanaka, JPN, 2:27:40

7. Merima Mohammed, BRN, 2:27:41

8. Rei Ohara, JPN, 2:27:44

9. Mao Kiyota, JPN, 2:28:58

10. Misaki Kato, JPN, 2:29:22