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Date: 17 August 2004
Summary
Final 1
| Rank | Name | Nation | Time |
| 1 | Michael Phelps; Ryan Lochte; Peter Vanderkaay; Klete Keller | USA | 7:07.33 |
| 2 | Grant Hackett; Michael Klim; Nicholas Sprenger; Ian Thorpe | AUS | 7:07.46 |
| 3 | Emiliano Brembilla; Massimiliano Rosolino; Simone Cercato; Filippo Magnini | ITA | 7:11.83 |
| 4 | Simon Burnett; Gavin Meadows; David O'Brien; Ross Davenport | GBR | 7:12.60 |
| 5 | Brent Hayden; Brian Johns; Andrew Hurd; Rick Say | CAN | 7:13.33 |
| 6 | Jens Schreiber; Heiko Hell; Lars Conrad; Christian Keller | GER | 7:16.51 |
| 7 | Amaury Leveaux; Fabien Horth; Nicolas Kintz; Nicolas Rostoucher | FRA | 7:17.43 |
| 8 | Apostolos Antonopoulos; Dimitrios Manganas; Andreas Zisimos; Nikolaos Xylouris | GRE | 7:23.02 |