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Date: 14 August 2004
Summary
Final 1
| Rank | Name | Nation | Time |
| 1 | Ian Thorpe | AUS | 3:43.10 |
| 2 | Grant Hackett | AUS | 3:43.36 |
| 3 | Klete Keller | USA | 3:44.11 |
| 4 | Larsen Jensen | USA | 3:46.08 |
| 5 | Massimiliano Rosolino | ITA | 3:46.25 |
| 6 | Yuri Prilukov | RUS | 3:46.69 |
| 7 | Spyridon Gianniotis | GRE | 3:48.77 |
| 8 | Takeshi Matsuda | JPN | 3:48.96 |