| 1 |  Australia (Ashleigh Gentle, Luke Willian, Emma Jeffcoat, Jacob Birtwhistle) | 1:24:16 |
| 2 |  United States (Taylor Spivey, Ben Kanute, Katie Hursey Zaferes, Eli Hemming) | 1:24:21 |
| 3 |  New Zealand (Ainsley Thorpe, Sam Ward, Sophie Corbidge, Hayden Wilde) | 1:24:31 |
| 4 |  France (Sandra Dodet, Dorian Coninx, Léonie Périault, Léo Bergère) | 1:24:39 |
| 5 |  Germany (Laura Lindemann, Valentin Wernz, Nina Eim, Jonas Schomburg) | 1:24:41 |
| 6 |  Italy (Angelica Olmo, Delian Stateff, Verena Steinhauser, Gianluca Pozzatti) | 1:25:00 |
| 7 |  Great Britain (Vicky Holland, Thomas Bishop, Non Stanford, Alex Yee) | 1:25:24 |
| 8 |  Spain (Anna Godoy Contreras, Antonio Serrat Seoane, Sara Perez Sala, Vicente Hernandez) | 1:25:27 |
| 9 |  Netherlands (Rachel Klamer, Marco van der Stel, Maya Kingma, Jorik Van Egdom) | 1:25:33 |
| 10 |  Hungary (Zsófia Kovács, Bence Bicsák, Margit Vanek, Tamas Toth) | 1:25:48 |
| 11 |  Portugal (Melanie Santos, João Pedro Silva, Vera Vilaca, João José Pereira) | 1:25:52 |
| 12 |  Mexico (Jessica Gabriela Romero Tinoco, Crisanto Grajales, Michelle Flipo, Irving Perez) | 1:26:43 |
| 13 |  Austria (Julia Hauser, Alois Knabl, Lisa Perterer, Lukas Hollaus) | 1:26:44 |
| 14 |  Canada (Desirae Ridenour, Matthew Sharpe, Hannah Henry, Tyler Mislawchuk) | 1:26:50 |
| 15 |  South Africa (Gilles Sanders, Henri Schoeman, Amber Schlebusch, Wian Sullwald) | 1:26:57 |
| 16 |  Russia (Anastasia Abromisova, Alexander Bryukhankov, Yuliya Golofeeva, Grigory Antipov) | 1:26:58 |
| 17 |  Denmark (Alberte Kjaer Pedersen, Emil Holm, Sif Bendix Madsen, Andreas Schilling) | 1:28:17 |
| 18 |  Brazil (Vittoria Lopes, Manoel Messias, Luisa Baptista, Diogo Sclebin) | 1:29:07 |
| 19 |  Switzerland (Lisa Berger, Simon Westermann, Jolanda Annen, Adrien Briffod) | Lap |
| 19 |  Belgium (Hanne De Vet, Christophe De Keyser, Jolien Vermeylen, Marten Van Riel) | Lap |
| 19 |  Hong Kong (Yan Yin Hilda Choi, Shing Him Yu, Bailee Brown, Michael Lam) | Lap |
| 22 |  Japan (Yuko Takahashi, Jumpei Furuya, Ai Ueda, Kenji Nener) | DNF |
United Arab Emirates - 9 March 2019