# 2022 FINA World Swimming Championships (25 m) – Women's 4 × 50 metre medley relay

The Women's 4 × 50-metre medley relay competition of the 2022 FINA World Swimming Championships (25 m) was held on 17 December 2022.

## Records

Prior to the competition, the existing world and championship records were as follows.
| World record | USA SWE | 1:42.38 | Hangzhou, China Abu Dhabi, United Arab Emirates | 12 December 2018 17 December 2021 |
| Competition record | USA | 1:42.38 | Hangzhou, China | 12 December 2018 |
The following new records were set during this competition:
| Date | Event | Name | Nation | Time | Record |
| 17 December | Final | Mollie O'Callaghan (25.49) Chelsea Hodges (29.11) Emma McKeon (24.43) Madison Wilson (23.32) | Australia | 1:42.35 | WR, CR |

## Results
### Heats

The heats were started at 11:05.
| Rank | Heat | Lane | Nation | Swimmers | Time | Notes |
| 1 | 1 | 8 | Australia | Kaylee McKeown (26.42) Jenna Strauch (30.21) Emma McKeon (24.79) Madison Wilson (23.36) | 1:44.78 | Q, OC |
| 2 | 2 | 4 | Sweden | Hanna Rosvall (26.49) Klara Thormalm (29.40) Sara Junevik (24.42) Sofia Åstedt (24.52) | 1:44.83 | Q |
| 3 | 2 | 6 | France | Analia Pigrée (26.49) Charlotte Bonnet (29.63) Mélanie Henique (25.36) Béryl Gastaldello (23.38) | 1:44.86 | Q, NR |
| 4 | 1 | 1 | Japan | Miki Takahashi (26.86) Reona Aoki (29.38) Moe Tsuda (24.73) Yume Jinno (24.44) | 1:45.41 | Q |
| 5 | 2 | 5 | Netherlands | Kira Toussaint (26.47) Tes Schouten (29.98) Kim Busch (25.41) Valerie van Roon (24.20) | 1:46.06 | Q |
| 6 | 1 | 5 | Canada | Ingrid Wilm (26.10) Rachel Nicol (30.08) Katerine Savard (25.52) Rebecca Smith (24.46) | 1:46.16 | Q |
| 7 | 1 | 4 | United States | Alex Walsh (27.18) Annie Lazor (30.14) Erika Brown (25.17) Natalie Hinds (24.09) | 1:46.58 | Q |
| 8 | 1 | 7 | Czech Republic | Simona Kubová (26.31) Kristýna Horská (30.82) Barbora Seemanová (25.52) Barbora Janíčková (24.08) | 1:46.73 | Q |
| 9 | 2 | 1 | Korea | Kim San-ha (26.67) NR Moon Su-a (31.18) Kim Seo-yeong (25.83) Hur Yeon-kyung (24.56) | 1:48.24 | NR |
| 10 | 2 | 3 | China | Peng Xuwei (27.10) Yang Chang (30.48) Zhang Yifan (26.63) Liu Shuhan (24.11) | 1:48.32 | |
| 11 | 2 | 2 | Slovakia | Tamara Potocká (28.37) Andrea Podmaníková (29.79) Lillian Slušná (26.12) Teresa Ivanová (24.23) | 1:48.51 | NR |
| 12 | 1 | 6 | Hong Kong | Stephanie Au (27.45) Lam Hoi Kiu (31.68) Chan Kin Lok (27.26) Chang Yujuan (26.22) | 1:52.61 | |
| 13 | 2 | 7 | South Africa | Milla Drakopoulos (28.24) Emily Visagie (31.46) Caitlin de Lange (26.87) Hannah Pearse (27.19) | 1:53.76 | |
| 14 | 1 | 2 | Peru | Alexia Sotomayor (28.50) McKenna DeBever (32.35) María Fe Muñoz (28.21) Rafaela Fernandini (25.12) | 1:54.18 | NR |
| | 1 | 3 | Italy | | Did not start | Did not start |
| | 2 | 8 | Great Britain | | Did not start | Did not start |

### Final

The final was held at 19:35.
| Rank | Lane | Nation | Swimmers | Time | Notes |
| | 4 | Australia | Mollie O'Callaghan (25.49) OC Chelsea Hodges (29.11) Emma McKeon (24.43) Madison Wilson (23.32) | 1:42.35 | WR |
| | 1 | United States | Claire Curzan (25.75) Lilly King (29.00) Torri Huske (24.94) Kate Douglass (22.72) | 1:42.41 | |
| | 5 | Sweden | Louise Hansson (25.86) Klara Thormalm (29.34) Sara Junevik (24.06) Michelle Coleman (23.17) | 1:42.43 | |
| 4 | 7 | Canada | Kylie Masse (25.84) Sydney Pickrem (29.69) Maggie Mac Neil (24.40) Taylor Ruck (23.63) | 1:43.56 | NR |
| 5 | 2 | Netherlands | Kira Toussaint (26.20) Tes Schouten (29.81) Maaike de Waard (24.39) Marrit Steenbergen (23.32) | 1:43.72 | |
| 6 | 3 | France | Analia Pigrée (26.30) Charlotte Bonnet (29.64) Mélanie Henique (24.78) Beryl Gastadello (23.24) | 1:43.96 | NR |
| 7 | 6 | Japan | Miki Takahashi (26.84) Reona Aoki (29.67) Moe Tsuda (24.74) Chihiro Igarashi (24.04) | 1:45.29 | |
| 8 | 8 | Czech Republic | Simona Kubová (26.40) Kristýna Horská (30.50) Barbora Seemanová (25.43) Barbora Janíčková (24.07) | 1:46.40 | |