| 1. | 4. | 4. | 5. | Central College | Luther (C) | Central College (D) | Central College | A | D | C | D | Hadyn Miller, Alyssa Mayhew, Elsie Thoreson, Abbi Roerdink | Layken Bytnar, Lindsey Davidson, Hailey Hill, Kate Hoogensen | Anneke Knauss, Ana Goellner, Gabrielle Janssen, Stephanie Lewis | Abby Loecke, Macie Bopp, Ashley Rockhold, Emily Erhardt | 4:11.9188 | 4:11.9188 | 4:45.7088 | 4:45.7088 | 87 | 430 | - | - |
| 2. | 4. | 4. | 3. | Luther | Luther | Central College (B) | Luther (B) | A | B | B | A | Rose Sieve, Maggie Haller, Amelia Hornseth, Mya Ploor | Layken Bytnar, Lindsey Davidson, Hailey Hill, Kate Hoogensen | Layken Bytnar, Lindsey Davidson, Hailey Hill, Kate Hoogensen | Abby Loecke, Macie Bopp, Ashley Rockhold, Emily Erhardt | 4:17.4781 | 4:11.9188 | 4:17.4781 | 4:17.4781 | 5 | 430 | 5 | - |
| 3. | | | | Luther (B) | Central College (B) | Simpson (Iowa) | Simpson (Iowa) | B | A | D | D | Anneke Knauss, Ana Goellner, Gabrielle Janssen, Stephanie Lewis | Layken Bytnar, Lindsey Davidson, Hailey Hill, Kate Hoogensen | Abby Loecke, Macie Bopp, Ashley Rockhold, Emily Erhardt | Anneke Knauss, Ana Goellner, Gabrielle Janssen, Stephanie Lewis | 21:04:26.724 | 21:04:26.724 | 4:45.7088 | 4:45.7088 | - | 87 | - | - |
| 4. | 4. | 3. | 6. | Central College (B) | Central College (B) | Central College | Luther (B) | B | B | C | A | Cali Coffman, Hollie Loper, Lauren Miller, Madelyn Soupir | Meg Sessions, Morgan Hansen, Grace Davidson, Kasandra Keller | Layken Bytnar, Lindsey Davidson, Hailey Hill, Kate Hoogensen | Cali Coffman, Hollie Loper, Lauren Miller, Madelyn Soupir | 4:31.334 | 21:04:26.724 | 4:45.7088 | DNF | - | - | - | - |
| 5. | 6. | 6. | 5. | Simpson (Iowa) | Central College (D) | Luther (B) | Luther (B) | A | B | A | A | Abby Loecke, Macie Bopp, Ashley Rockhold, Emily Erhardt | Abby Loecke, Macie Bopp, Ashley Rockhold, Emily Erhardt | Layken Bytnar, Lindsey Davidson, Hailey Hill, Kate Hoogensen | Anneke Knauss, Ana Goellner, Gabrielle Janssen, Stephanie Lewis | 45:04:42.017 | 21:04:26.724 | 4:45.7088 | 4:17.4781 | 430 | - | 5 | 5 |
| 6. | 2. | 2. | 1. | Central College (D) | Central College | Central College (D) | Central College (B) | D | B | C | B | Layken Bytnar, Lindsey Davidson, Hailey Hill, Kate Hoogensen | Rose Sieve, Maggie Haller, Amelia Hornseth, Mya Ploor | Meg Sessions, Morgan Hansen, Grace Davidson, Kasandra Keller | Anneke Knauss, Ana Goellner, Gabrielle Janssen, Stephanie Lewis | 4:45.7088 | 4:31.334 | 4:45.7088 | 4:31.334 | - | 430 | 87 | 5 |
| | | 3. | | Luther (C) | Central College (D) | Central College | Central College (D) | C | B | D | B | Meg Sessions, Morgan Hansen, Grace Davidson, Kasandra Keller | Anneke Knauss, Ana Goellner, Gabrielle Janssen, Stephanie Lewis | Hadyn Miller, Alyssa Mayhew, Elsie Thoreson, Abbi Roerdink | Cali Coffman, Hollie Loper, Lauren Miller, Madelyn Soupir | DNF | 4:31.334 | 21:04:26.724 | 4:11.9188 | - | 5 | 87 | 5 |
