| 2021 | ||||
| (Tokyo, August 6) | ||||
| 1. | Antonella Palmisano (Italy) | 1:29:12 | ||
| 2. | Sandra Arenas (Colombia) | 1:29:37 | ||
| 3. | Hong Liu (China) | 1:29:57 | ||
| 4. | Mária Pérez (Spain) | 1:30:05 | ||
| 5. | Alegna Gonzalez (Mexico) | 1:30:33 | ||
| 6. | Jemima Montag (Australia) | 1:30:39 | ||
| 7. | Shenjie Qieyang (China) | 1:31:04 | ||
| 8. | Antigóni Drisbióti (Greece) | 1:31:24 | ||
| 33. | Robyn Stevens (USA) | 1:37:42 | ||
| 2016 | ||||
| (Rio de Janeiro, August 19) | ||||
| 1 | Hong Liu (China) | 1:28:35 | ||
| 2 | Maria Guadalupe González (Mexico) | 1:28:37 | ||
| 3 | Xiuzhi Lu (China) | 1:28:42 | ||
| 4 | Antonella Palmisano (Italy) | 1:29:03 | ||
| 5 | Shenjie Qieyang (China) | 1:29:04 | ||
| 6 | Ana Cabecinha (Portugal) | 1:29:23 | ||
| 7 | Erica de Sena (Brazil) | 1:29:29 | ||
| 8 | Beatriz Pascual (Spain) | 1:30:24 | ||
| 22 | Maria Michta-Coffey (USA) | 1:33:36 | ||
| 34 | Miranda Melville (USA) | 1:35:48 | ||
| [no third U.S. entrant] | ||||
| 2012 | ||||
| (London, August 11) | ||||
| 1 | Yelena Lashmanova (Russia) | 1:25:02 | WR | |
| 2 | Olga Kaniskina (Russia) | 1:25:09 | ||
| 3 | Shenjie Qieyang (China) | 1:25:16 | ||
| 4 | Hong Liu (China) | 1:26:00 | ||
| 5 | Anisya Kirdyapkina (Russia) | 1:26:26 | ||
| 6 | Xiuzhi Lu (China) | 1:27:10 | ||
| 7 | Elisa Rigaudo (Italy) | 1:27:36 | ||
| 8 | Beatriz Pascual (Spain) | 1:27:56 | ||
| [29. Maria Michta (USA) 1:32:27—only U.S. entrant] | ||||
| 2008 | ||||
| 1 | Olga Kaniskina (Russia) | 1:26:31 | ||
| 2 | Kjersti Plätzer (Norway) | 1:27:07 | ||
| 3 | Elisa Rigaudo (Italy) | 1:27:12 | ||
| 4 | Hong Liu (China) | 1:27:17 | ||
| 5 | María Vasco (Spain) | 1:27:25 | ||
| 6 | Beatriz Pascual (Spain) | 1:27:44 | ||
| 7 | Olive Loughnane (Ireland) | 1:27:45 | ||
| 8 | Ana Cabecinha (Portugal) | 1:27:46 | ||
| [31 | Joanne Dow (USA) 1:34:15—only U.S. entrant] | |||
| 2004 | ||||
| 1 | Athanasía Tsoumeléka (Greece) | 1:29:12 | ||
| 2 | Olimpiada Ivanova (Russia) | 1:29:16 | ||
| 3 | Jane Saville (Australia) | 1:29:25 | ||
| 4 | Margarita Turova (Belarus) | 1:29:39 | ||
| 5 | Melanie Seeger (Germany) | 1:29:52 | ||
| 6 | Elisa Rigaudo (Italy) | 1:29:57 | ||
| 7 | María Vasco (Spain) | 1:30:06 | ||
| 8 | Liping Wang (China) | 1:30:16 | ||
| [43 | Teresa Vaill (USA) 1:38:47—only U.S. entrant] | |||
| 2000 | ||||
| 1 | Liping Wang (China) | 1:29:05 | ||
| 2 | Kjersti Plätzer (Norway) | 1:29:33 | ||
| 3 | Maria Vasco (Spain) | 1:30:23 | ||
| 4 | Erica Alfridi (Italy) | 1:31:25 | ||
| 5 | Guadalupe Sánchez (Mexico) | 1:31:33 | ||
| 6 | Norica Cîmpean (Romania) | 1:31:50 | ||
| 7 | Kerry Saxby-Junna (Australia) | 1:32:02 | ||
| 8 | Tatyana Gudkova (Russia) | 1:32:35 | ||
| [17 | Michelle Rohl (USA) 1:34:26] | |||
| [38 | Yueling Chen (USA) 1:39:36] | |||
| [44 | Debbi Lawrence (USA) 1:47:20] | |||
| [Wang 1:29:05 OR] | ||||
| 1996 | ||||
| (10K) | ||||
| 1 | Yelena Nikolayeva (Russia) | 41:49 | ||
| 2 | Elisabetta Perrone (Italy) | 42:12 | ||
| 3 | Yan Wang (China) | 42:19 | ||
| 4 | Yan Gu (China) | 42:34 | ||
| 5 | Rossella Giordano (Italy) | 42:43 | ||
| 6 | Olga Kardopoltseva (Belarus) | 43:02 | ||
| 7 | Katarzyna Radtke (Poland) | 43:05 | ||
| 8 | Valentina Tsybulskaya (Belarus) | 43:21 | ||
| [14 | Michelle Rohl (USA) 44:29] | |||
| [20. Debbi Lawrence (USA) 45:32] | ||||
| [DQ—Victoria Herazo (USA)] | ||||
| [Nikolayeva 41:49 OR] | ||||
| 1992 | ||||
| (10K) | ||||
| 1 | Yueling Chen (China) | 44:32 | ||
| 2 | Yelena Nikolayeva (Russia) | 44:33 | ||
| 3 | Chunxiu Li (China) | 44:41 | ||
| 4 | Sari Essayah (Finland) | 45:08 | ||
| 5 | Yingzi Cui (China) | 45:15 | ||
| 6 | Madelein Svensson (Sweden) | 45:17 | ||
| 7 | Annarita Sidoti (Italy) | 45:23 | ||
| 8 | Yelena Saiko (Russia) | 45:23 | ||
| [20. Michelle Rohl (USA) 46:45] | ||||
| [26 | Debbi Lawrence (USA) 48:23] | |||
| [27 | Victoria Herazo (USA) 48:26] | |||
| [Chen 44:32 OR] | ||||
| 1988 | ||||
| (1928-1988 not contested) |