| 1. | 7. | 6. | Lynchburg | Shenandoah | Guilford | Bailey Casto, Angela Ramsden, Jessica Cammarata, Endasia Mitchell | Ermela Wurgesa, Jalil Penn, Elizabeth Bearisto, Jordan Sheets | Ermela Wurgesa, Jalil Penn, Elizabeth Bearisto, Jordan Sheets | 4:04:10.836 | 15:04:47.183 | 4:20.142 | 1041 | 284 | 284 |
| 2. | 8. | 8. | Virginia Wesleyan | Washington and Lee | Virginia Wesleyan | Kwonsha Washington, Terra Caple, Arianna Ward, Alizae Dollins | Kwonsha Washington, Terra Caple, Arianna Ward, Alizae Dollins | Hannah Koepfinger, Allison Barthol, Alison Moreau, Lily Lippert | 3:04:13.3730 | 18:04:40.353 | 41:04:40.9540 | 284 | 1041 | 1041 |
| 3. | 5. | 3. | Washington and Lee | Emory & Henry | Emory & Henry | Avery Schiffman, Claire Smith, Murfee Jones, Anne Cunningham | Savannah Blake, Erin Fitzpatrick, Jordan Davis, Kacee Hooker | Maria Hatch, Graysen Barrs, Alette McGuire , Erica Grupp | 43:04:16.98 | 15:04:47.183 | 43:04:16.98 | 916 | 284 | 3338 |
| 4. | 3. | 6. | Bridgewater (Va.) | Bridgewater (Va.) | Emory & Henry | Savannah Blake, Erin Fitzpatrick, Jordan Davis, Kacee Hooker | Ermela Wurgesa, Jalil Penn, Elizabeth Bearisto, Jordan Sheets | Ananya Bernardo, Shannon Petsch, Jamie Britt, Samantha Brown | 28:04:18.90 | 15:04:47.183 | 4:04:10.836 | 589 | 3338 | - |
| 5. | 4. | 1. | Roanoke | Lynchburg | Randolph | Hannah Koepfinger, Allison Barthol, Alison Moreau, Lily Lippert | Ananya Bernardo, Shannon Petsch, Jamie Britt, Samantha Brown | Ermela Wurgesa, Jalil Penn, Elizabeth Bearisto, Jordan Sheets | 4:20.142 | 28:04:18.90 | 15:04:47.183 | 2340 | 1 | 3338 |
| 6. | 4. | 1. | Shenandoah | Virginia Wesleyan | Bridgewater (Va.) | Ariana Williams, Aislynn Smith, Whitney Anderson, Emily Miller | Ariana Williams, Aislynn Smith, Whitney Anderson, Emily Miller | Hannah Koepfinger, Allison Barthol, Alison Moreau, Lily Lippert | 18:04:40.353 | 4:20.142 | DNS | 3338 | 3338 | 1041 |
| 7. | 2. | 2. | Guilford | Shenandoah | Guilford | Ananya Bernardo, Shannon Petsch, Jamie Britt, Samantha Brown | Maria Hatch, Graysen Barrs, Alette McGuire , Erica Grupp | Hannah Koepfinger, Allison Barthol, Alison Moreau, Lily Lippert | 41:04:40.9540 | 43:04:16.98 | 4:04:10.836 | 642 | - | 642 |
| 8. | 4. | 7. | Randolph | Shenandoah | Virginia Wesleyan | Ermela Wurgesa, Jalil Penn, Elizabeth Bearisto, Jordan Sheets | Ariana Williams, Aislynn Smith, Whitney Anderson, Emily Miller | Savannah Blake, Erin Fitzpatrick, Jordan Davis, Kacee Hooker | 15:04:47.183 | 15:04:47.183 | 28:04:18.90 | 1 | 916 | 916 |
| | | 4. | Emory & Henry | Guilford | Bridgewater (Va.) | Maria Hatch, Graysen Barrs, Alette McGuire , Erica Grupp | Kwonsha Washington, Terra Caple, Arianna Ward, Alizae Dollins | Kwonsha Washington, Terra Caple, Arianna Ward, Alizae Dollins | DNS | 43:04:16.98 | 15:04:47.183 | - | 3338 | 3338 |
