The men's 200 metre individual medley SM14 event at the 2020 Paralympic Games took place on 31 August 2021, at the Tokyo Aquatics Centre.

Heats The swimmers with the top eight times, regardless of heat, advanced to the final.

Rank Heat Lane Name Nationality Time Notes 1 1 4 Vasyl Krainyk 2:11.11 2 2 4 Reece Dunn 2:12.61 3 2 5 Marc Evers 2:13.10 4 2 6 Nicholas Bennett 2:13.94 4 3 3 Mikhail Kuliabin 2:13.94 6 3 5 Gabriel Bandeira 2:15.35 7 1 3 Robert Isak Jonsson 2:15.37 8 3 4 Dai Tokairin 2:15.54 9 1 6 Jordan Catchpole 2:16.35 10 1 5 Liam Schluter 2:16.51 11 3 2 Naohide Yamaguchi 2:17.43 12 1 2 Lawrence Sapp 2:17.89 13 2 2 Lee Juyoung 2:18.75 14 3 6 Tang Wai-lok 2:18.87 15 3 7 Misha Palazzo 2:19.95 16 2 7 Joao Pedro Brutos de Oliveira 2:21.20 17 1 7 Parker Egbert 2:22.58 18 2 3 Keichi Nakajima 2:23.57

Final Rank Lane Name Nationality Time Notes+200m individual medley final 5 Reece Dunn 2:08.02 WR 7 Gabriel Bandeira 2:09.56 AM 4 Vasyl Krainyk 2:09.92 4 8 Dai Tokairin 2:11.29 5 2 Mikhail Kuliabin 2:12.00 6 1 Robert Isak Jonsson 2:12.89 7 6 Nicholas Bennett 2:13.21 8 3 Marc Evers 2:13.25

References