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Date: 18 August 2010 / 18 August 2010
Heats
Final
| Rank | Name | Nation | Time |
| 1 | Max Ackermann; Nicholas Schafer; Kenneth To; Justin James | AUS | 3:42.50 |
| 2 | Ganesh Pedurand; Thomas Rabeisen; Jordan Coelho; Medhy Metella | FRA | 3:43.84 |
| 3 | Christian Diener; Christian Vom Lehn; Melvin Herrmann; Kevin Leithold | GER | 3:44.22 |
| 4 | He Jianbin; Wang Ximing; Sun Bowei; Dai Jun | CHN | 3:44.51 |
| 5 | Alexey Atsapkin; Anton Lobanov; Ilya Lemaev; Andrey Ushakov | RUS | 3:44.65 |
| 6 | Murray McDougall; Dylan Bosch; Chad le Clos; Pierre Keune | RSA | 3:45.80 |
| 7 | Peter Bernek; Zsombor Szana; Bence Biczo; Balazs Zambo | HUN | 3:47.27 |
| 8 | Simone Geni; Flavio Bizzarri; Tommaso Romani; Alessio Torlai | ITA | 3:48.45 |
| Heats | |||
| 9 | Yusuke Yamagishi; Tatsunari Shoda; Jun Isaji; Takahiro Tsutsumi | JPN | 3:52.55 |
| 10 | Rainer Kai Wee Ng; Sheng Jun Pang; Yong En Clement Lim; Arren Xin Hui Quek | SIN | 3:52.89 |
| 11 | Steve Schmuhl; Austin Ringquist; Erich Peske; Thomas Stephens | USA | 3:52.98 |
| 12 | Jeremy Bagshaw; Chad Bobrosky; Thomas Jobin; Kyle McIntee | CAN | 3:58.65 |