The women's 4 × 100 metre medley relay competition at the 2023 World Aquatics Championships was held on 30 July 2023.

Records Prior to the competition, the existing world and championship records were as follows.

Results Heats The heats were held at 11:14.

Rank Heat Lane Nation Swimmers Time Notes 1 3 5 Ingrid Wilm (59.11)Sophie Angus (1:06.30)Maggie Mac Neil (56.53)Mary-Sophie Harvey (53.99) 3:55.93 Q 2 3 4 Katharine Berkoff (58.56)Lydia Jacoby (1:07.73)Torri Huske (57.42)Abbey Weitzeil (52.60) 3:56.31 Q 3 2 5 Michelle Coleman (1:01.51)Sophie Hansson (1:06.67)Louise Hansson (56.90)Sarah Sjöström (52.41) 3:57.49 Q 4 2 4 Madison Wilson (59.54) Abbey Harkin (1:07.66)Brianna Throssell (57.72)Meg Harris (52.82) 3:57.74 Q 5 2 3 Kira Toussaint (1:00.57)Tes Schouten (1:06.79)Kim Busch (58.46)Marrit Steenbergen (51.99) 3:57.81 Q 6 2 6 Wang Xueer (1:00.42)Yang Chang (1:07.12)Wang Yichun (57.17)Wu Qingfeng (53.42) 3:58.13 Q 7 3 3 Pauline Mahieu (59.82)Charlotte Bonnet (1:06.87)Marie Wattel (57.08)Lison Nowaczyk (54.77) 3:58.54 Q 8 2 7 Rio Shirai (1:00.60)Reona Aoki (1:06.57)Ai Soma (57.48) Rikako Ikee (53.93) 3:58.58 Q 9 3 2 Lauren Cox (59.79)Kara Hanlon (1:07.39)Laura Stephens (58.66)Anna Hopkin (53.11) 3:58.95 10 2 2 Adela Piskorska (1:00.47)Dominika Sztandera (1:07.01)Paulina Peda (58.57)Kornelia Fiedkiewicz (54.18) 4:00.23 NR 11 3 6 Margherita Panziera (1:00.60)Martina Carraro (1:06.39)Ilaria Bianchi (59.08)Sofia Morini (54.60) 4:00.67 12 3 8 Laura Riedemann (1:01.68)Anna Elendt (1:07.23)Angelina Köhler (56.77)Nele Schulze (55.03) 4:00.71 13 3 9 Danielle Hill (1:01.65)Mona McSharry (1:05.55)Ellen Walshe (59.19)Victoria Catterson (54.86) 4:01.25 NR 14 2 0 Julie Kepp Jensen (1:03.33)Thea Blomsterberg (1:06.92)Helena Rosendahl Bach (58.51) Signe Bro (54.57) 4:03.33 15 1 6 Roos Vanotterdijk (1:00.91)Florine Gaspard (1:09.14)Valentine Dumont (59.09)Fleur Verdonck (55.40) 4:04.54 NR 16 1 3 Stephanie Au (1:00.75) Siobhán Haughey (1:07.49) Tam Hoi Lam (1:00.96)Camille Cheng (55.69) 4:04.89 17 1 4 Theodora Drakou (1:00.71 NR) Eleni Kontogeorgou (1:10.23) Anna Ntountounaki (58.26)Maria-Thalia Drasidou (55.79) 4:04.99 18 2 1 Lee Eun-ji (1:01.31)Kwon Se-hyun (1:09.94)Kim Seo-yeong (59.74)Hur Yeon-kyung (54.17) 4:05.16 19 3 7 Aviv Barzelay (1:02.13)Anastasia Gorbenko (1:06.94)Lea Polonsky (1:00.48)Daria Golovaty (56.02) 4:05.57 20 3 0 Carmen Weiler (1:01.46)Jessica Vall (1:08.32)Paula Juste (1:00.27)Ainhoa Campabadal (55.80) 4:05.85 21 3 1 Julia Góes (1:03.96)Jhennifer Conceição (1:08.48)Giovanna Diamante (59.32)Stephanie Balduccini (54.10) 4:05.86 22 1 5 Miranda Grana (1:02.11)Melissa Rodríguez (1:08.80)María José Mata (59.54)Athena Meneses (56.40) 4:06.85 NR 23 2 9 Saovanee Boonamphai (1:06.39)Phiangkhwan Pawapotako (1:12.25)Kamonchanok Kwanmuang (1:01.97)Jenjira Srisaard (59.82) 4:20.43 2 8

Final The final was held at 21:37.

Rank Lane Nation Swimmers Time Notes 5 Regan Smith (57.68)Lilly King (1:04.93)Gretchen Walsh (57.06)Kate Douglass (52.41) 3:52.08 6 Kaylee McKeown (57.91)Abbey Harkin (1:07.07)Emma McKeon (56.44)Mollie O'Callaghan (51.95) 3:53.37 4 Kylie Masse (58.74)Sophie Angus (1:06.21)Maggie Mac Neil (55.69)Summer McIntosh (53.48) 3:54.12 4 7 Wan Letian (59.49)Tang Qianting (1:06.13)Zhang Yufei (55.50)Cheng Yujie (53.45) 3:54.57 5 3 Michelle Coleman (1:01.08)Sophie Hansson (1:06.34)Louise Hansson (56.82)Sarah Sjöström (52.08) 3:56.32 6 8 Rio Shirai (1:00.96)Satomi Suzuki (1:05.73)Ai Soma (57.67)Rikako Ikee (53.66) 3:58.02 7 2 Kira Toussaint (1:00.34)Tes Schouten (1:06.91)Kim Busch (58.88)Marrit Steenbergen (51.96) 3:58.09 8 1 Pauline Mahieu (1:00.12)Charlotte Bonnet (1:06.78)Marie Wattel (57.72)Lison Nowaczyk (54.62) 3:59.24

References