# 2022 FINA World Swimming Championships (25 m) – Women's 4 × 100 metre medley relay

The Women's 4 × 100 metre medley relay competition of the 2022 FINA World Swimming Championships (25 m) was held on 18 December 2022.

## Records

Prior to the competition, the existing world and championship records were as follows.
| World record | United States (USA) | 3:44.52 | Budapest, Hungary | 21 November 2020 |
| Competition record | United States (USA) | 3:45.58 | Hangzhou, China | 16 December 2018 |
The following new records were set during this competition:
| Date | Event | Name | Nation | Time | Record |
| 18 December | Final | Claire Curzan (56.47) Lilly King (1:02.88) Torri Huske (54.53) Kate Douglass (50.47) | United States | 3:44.35 | WR |

## Results
### Heats

The heats were started at 12:17.
| Rank | Heat | Lane | Nation | Swimmers | Time | Notes |
| 1 | 1 | 5 | United States | Alex Walsh (56.60) Lilly King (1:04.03) Kate Douglass (54.46) Erika Brown (52.58) | 3:47.67 | Q |
| 2 | 1 | 3 | Australia | Mollie O'Callaghan (55.81) Chelsea Hodges (1:05.24) Alexandria Perkins (56.27) Meg Harris (51.58) | 3:48.90 | Q |
| 3 | 1 | 4 | Canada | Kylie Masse (56.41) Rachel Nicol (1:05.44) Katerine Savard (57.21) Rebecca Smith (52.34) | 3:51.40 | Q |
| 4 | 2 | 4 | Sweden | Louise Hansson (56.84) Klara Thormalm (1:05.27) Sara Junevik (56.05) Sofia Åstedt (54.33) | 3:52.49 | Q |
| 5 | 2 | 2 | Japan | Rio Shirai (58.11) Reona Aoki (1:04.31) Ai Soma (56.98) Yume Jinno (53.52) | 3:52.92 | Q |
| 6 | 2 | 6 | Netherlands | Maaike de Waard (56.78) Tes Schouten (1:04.75) Kim Busch (57.81) Valerie van Roon (53.61) | 3:52.95 | Q, NR |
| 7 | 1 | 6 | France | Mary-Ambre Moluh (57.36) Charlotte Bonnet (1:05.58) Béryl Gastaldello (56.90) Mélanie Henique (53.71) | 3:53.55 | Q, NR |
| 8 | 2 | 5 | China | Wan Letian (58.08) Yang Chang (1:05.26) Yang Junxuan (57.32) Cheng Yujie (53.91) | 3:54.57 | Q |
| 9 | 2 | 3 | Italy | Silvia Scalia (57.64) Sara Franceschi (1:06.77) Ilaria Cusinato (57.94) Costanza Cocconcelli (53.27) | 3:55.62 | |
| 10 | 1 | 7 | South Korea | Kim San-ha (58.01) NR Moon Su-a (1:06.87) Kim Seo-yeong (57.79) Hur Yeon-kyung (53.99) | 3:56.66 | NR |
| 11 | 1 | 8 | Slovakia | Tamara Potocká (58.73) Andrea Podmaníková (1:07.13) Zora Ripková (59.24) Teresa Ivanová (54.40) | 3:59.50 | NR |
| 12 | 2 | 7 | South Africa | Milla Drakopoulos (1:00.30) Emily Visagie (1:07.40) Rebecca Meder (57.68) Caitlin de Lange (54.26) | 3:59.64 | AF |
| 13 | 1 | 1 | New Zealand | Emma Godwin (1:00.01) Helena Gasson (1:06.77) Hazel Ouwehand (1:00.01) Rebecca Moynihan (54.13) | 4:00.92 | NR |
| 14 | 2 | 1 | Hong Kong | Cindy Cheung (1:01.82) Lam Hoi Kiu (1:09.10) Yeung Hoi Ching (1:00.31) Sze Hang-yu (54.03) | 4:05.26 | |
| 15 | 2 | 8 | Peru | Alexia Sotomayor (1:01.44) McKenna DeBever (1:11.26) María Fe Muñoz (1:03.21) Rafaela Fernandini (56.82) | 4:12.73 | NR |
| | 1 | 2 | Great Britain | | Did not start | Did not start |

### Final

The final was held at 21:03.
| Rank | Lane | Nation | Swimmers | Time | Notes |
| | 4 | United States | Claire Curzan (56.47) Lilly King (1:02.88) Torri Huske (54.53) Kate Douglass (50.47) | 3:44.35 | WR |
| | 5 | Australia | Kaylee McKeown (55.74) Jenna Strauch (1:04.49) Emma McKeon (53.93) Meg Harris (50.76) | 3:44.92 | OC |
| | 3 | Canada | Ingrid Wilm (55.36) Sydney Pickrem (1:04.42) Maggie Mac Neil (54.59) Taylor Ruck (51.85) | 3:46.22 | NR |
| 4 | 7 | Netherlands | Kira Toussaint (56.53) Tes Schouten (1:05.28) Maaike de Waard (55.42) Marrit Steenbergen (50.47) | 3:47.70 | NR |
| 5 | 6 | Sweden | Hanna Rosvall (56.37) Sophie Hansson (1:04.96) Louise Hansson (54.57) Michelle Coleman (51.94) | 3:47.84 | |
| 6 | 1 | France | Pauline Mahieu (57.22) Charlotte Bonnet (1:04.12) Béryl Gastaldello (56.20) Mary-Ambre Moluh (52.74) | 3:50.28 | NR |
| 7 | 8 | China | Peng Xuwei (57.64) Tang Qianting (1:03.56) Yang Junxuan (57.49) Liu Shuhan (52.75) | 3:51.44 | |
| | 2 | Japan | Sayaka Akase (58.07) Reona Aoki (1:04.65) Ai Soma (57.19) Chihiro Igarashi | Disqualified | Disqualified |