| Final | Impianto Sportivo Padovanuoto - 05 September 2023 - Start Time: 17:00 |
| Pos. | Lane | Bib | Athlete | Year | Cat. | | Mark | Points |
|---|
| 1 | 5 | 6 | RATTUR Keira | 2005 | WSW |  EST ESTONIA | 3:59.90 | 9 |
| 2 | 4 | 67 | GASPAR Matilde | 2006 | WSW |  POR PORTUGAL | 4:00.46 | 7 |
| 3 | 2 | 36 | SULLIVAN Holly | 2003 | WSW |  GBR GREAT BRITAIN & N. IRELAND | 4:04.71 | 6 |
| 4 | 3 | 57 | VILLANOVA Martina | 1990 | WMA |  ITA ITALY | 4:10.81 | 5 |
| 5 | 6 | 56 | VIGNANDO Dalila | 1990 | WMA | ITA ITALY | 4:15.77 | 4 |
| 6 | 8 | 88 | TREVOR Caitlin (I) | 2003 | WSW |  USA UNITED STATES OF AMERICA | 4:17.41 | |
| 7 | 1 | 49 | DOBNIK Anna | 1997 | WMA | ITA ITALY | 4:17.46 | 3 |
| 8 | 7 | 8 | ALLEN Elizabeth | 2004 | WSW | GBR GREAT BRITAIN & N. IRELAND | 4:17.82 | 2 |
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