| 1 | 4 |  Australie | Emma Mckeon, Meg Harris, Mollie O'callaghan, Shayna Jack |
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| 2 | 5 |  États-Unis | Kate Douglass, Torri Huske, Simone Manuel, Gretchen Walsh |
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| 3 | 3 |  Chine | Yufei Zhang, Junxuan Yang, Qingfeng Wu, Yujie Cheng |
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| 4 | 7 |  Canada | Margaret Mac Neil, Taylor Ruck, Penny Oleksiak, Summer Mcintosh |
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| 5 | 6 |  Suède | Michelle Coleman, Louise Hansson, Sara Junevik, Sarah Sjoestroem |
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| 6 | 2 |  France | Charlotte Bonnet, Béryl Gastaldello, Mary-Ambre Moluh, Marie Wattel |
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| 7 | 1 |  Grande-Bretagne | Freya Anderson, Lucy Hope, Anna Hopkin, Eva Okaro |
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| 8 | 8 |  Italie | Sara Curtis, Emma Virginia Menicucci, Sofia Morini, Chiara Tarantino |
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