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Date: 13 February 2010
| Rank | Name | Nation | Total |
| 1 | Anastazia Kuzmina | SVK | 19:55.6 |
| 2 | Lena Neuner | GER | 19:57.1 |
| 3 | Marie Dorin | FRA | 20:06.5 |
| 4 | Anna Bulygina | RUS | 20:07.7 |
| 5 | Yelena Khrustalyova | KAZ | 20:20.4 |
| 6 | Marie Laure Brunet | FRA | 20:23.3 |
| 7 | Olga Zaytseva | RUS | 20:23.4 |
| 8 | Darya Domracheva | BLR | 20:27.4 |
| 9 | Teja Gregorin | SLO | 20:29.2 |
| 10 | Ann Kristin Flatland | NOR | 20:29.7 |
| 11 | Oksana Khvostenko | UKR | 20:38.9 |
| 12 | Helena Jonsson | SWE | 20:42.5 |
| 13 | Svetlana Sleptsova | RUS | 20:43.1 |
| 14 | Eva Tofalvi | ROU | 20:45.1 |
| 15 | Sandrine Bailly | FRA | 20:45.3 |
| 16 | Anna Maria Nilsson | SWE | 20:45.5 |
| 17 | Lyudmila Kalinchik | BLR | 20:46.1 |
| 18 | Olena Pidhrushna | UKR | 20:47.3 |
| 19 | Magda Rezlerová | CZE | 20:51.0 |
| 20 | Anna-Carin Olofsson-Zidek | SWE | 20:53.5 |
| 21 | Krystyna Pałka | POL | 20:54.3 |
| 22 | Olga Medvedtseva | RUS | 21:01.6 |
| 23 | Valj Semerenko | UKR | 21:08.3 |
| 24 | Veronika Vitková | CZE | 21:10.9 |
| 25 | Diana Rasimovičiūtė | LTU | 21:11.2 |
| 26 | Simone Hauswald | GER | 21:14.1 |
| 27 | Andrea Henkel | GER | 21:15.7 |
| 28 | Nadezhda Skardino | BLR | 21:17.6 |
| 29 | Sylvie Becaert | FRA | 21:21.6 |
| 30 | Kati Wilhelm | GER | 21:27.2 |
| 31 | Andreja Mali | SLO | 21:32.6 |
| 32 | Song Chaoqing | CHN | 21:38.2 |
| 33 | Tora Berger | NOR | 21:42.1 |
| 34 | Vita Semerenko | UKR | 21:42.3 |
| 35 | Magdalena Gwizdoń | POL | 21:48.9 |
| 36 | Weronika Nowakowska | POL | 21:49.4 |
| 37 | Dijana Ravnikar | SLO | 21:49.7 |
| 38 | Katja Haller | ITA | 21:51.0 |
| 39 | Mihaela Purdea | ROU | 21:52.2 |
| 40 | Janka Gereková | SVK | 21:54.0 |
| 41 | Sofia Domeij | SWE | 21:55.0 |
| 42 | Agnieszka Cyl | POL | 21:55.2 |
| 43 | Michela Ponza | ITA | 21:55.7 |
| 44 | Fuyuko Suzuki | JPN | 21:58.0 |
| 45 | Sara Studebaker | USA | 22:05.3 |
| 46 | Megan Tandy | CAN | 22:07.7 |
| 47 | Karin Oberhofer | ITA | 22:08.9 |
| 48 | Gerda Krūmina | LAT | 22:09.3 |
| 49 | Dana Plotogea | ROU | 22:12.3 |
| 50 | Wang Chunli | CHN | 22:13.4 |
| 51 | Liu Xianying | CHN | 22:14.6 |
| 52 | Anna Lebedeva | KAZ | 22:15.1 |
| 53 | Natalia Levcencova | MDA | 22:18.2 |
| 54 | Martina Halinárová | SVK | 22:19.0 |
| 55 | Eveli Saue | EST | 22:23.3 |
| 56 | Selina Gasparin | SUI | 22:23.4 |
| 57 | Madara Līduma | LAT | 22:23.8 |
| 58 | Marina Lebedeva | KAZ | 22:27.0 |
| 59 | Kaisa Mäkäräinen | FIN | 22:27.3 |
| 60 | Zdeňka Vejnarová | CZE | 22:28.5 |
| 61 | Kong Yingchao | CHN | 22:30.9 |
| 62 | Nina Klenovska | BUL | 22:32.4 |
| 63 | Mun Ji-Hui | KOR | 22:34.1 |
| 64 | Kadri Lehtla | EST | 22:34.2 |
| 65 | Zina Kocher | CAN | 22:35.8 |
| 66 | Gro Marit Istad Kristiansen | NOR | 22:41.0 |
| 67 | Lyubov Filimonova | KAZ | 22:44.4 |
| 68 | Mari Laukkanen | FIN | 22:45.0 |
| 69 | Līga Glāzere | LAT | 22:47.7 |
| 70 | Liv Kjersti Eikeland | NOR | 22:51.9 |
| 71 | Veronika Zvařičová | CZE | 22:52.9 |
| 72 | Rosanna Crawford | CAN | 23:04.6 |
| 73 | Roberta Fiandino | ITA | 23:11.6 |
| 74 | Olga Nazarova | BLR | 23:11.7 |
| 75 | Tadeja Brankovič-Likozar | SLO | 23:13.3 |
| 76 | Megan Imrie | CAN | 23:17.0 |
| 77 | Laura Spector | USA | 23:18.1 |
| 78 | Lanny Barnes | USA | 23:26.0 |
| 79 | Žanna Juškāne | LAT | 23:32.4 |
| 80 | Haley Johnson | USA | 23:35.4 |
| 81 | Ľubomíra Kalinová | SVK | 23:47.2 |
| 82 | Sarah Murphy | NZL | 23:49.7 |
| 83 | Kristel Viigipuu | EST | 23:57.1 |
| 84 | Sirli Hanni | EST | 23:57.8 |
| 85 | Alexandra Stoian | ROU | 24:04.6 |
| 86 | Panagiota Tsakiri | GRE | 24:28.8 |
| 87 | Victoria Padial | ESP | 24:55.5 |
| 88 | Tanja Karišik | BIH | 25:24.1 |
| Did not start | |||
| Andrijana Stipaničić | CRO | ||