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Date: 18 February 2010
| Rank | Name | Nation | Time | Penalties | Total |
| 1 | Tora Berger | NOR | 39:52.8 | 1 | 40:52.8 |
| 2 | Yelena Khrustalyova | KAZ | 41:13.5 | 0 | 41:13.5 |
| 3 | Darya Domracheva | BLR | 40:21.0 | 1 | 41:21.0 |
| 4 | Kati Wilhelm | GER | 40:57.3 | 1 | 41:57.3 |
| 5 | Weronika Nowakowska | POL | 40:57.5 | 1 | 41:57.5 |
| 6 | Andrea Henkel | GER | 40:32.4 | 2 | 42:32.4 |
| 7 | Agnieszka Cyl | POL | 41:32.5 | 1 | 42:32.5 |
| 8 | Oksana Khvostenko | UKR | 42:38.6 | 0 | 42:38.6 |
| 9 | Lyudmila Kalinchik | BLR | 41:39.1 | 1 | 42:39.1 |
| 10 | Lena Neuner | GER | 39:42.1 | 3 | 42:42.1 |
| 11 | Eva Tofalvi | ROU | 41:43.4 | 1 | 42:43.4 |
| 12 | Marie Laure Brunet | FRA | 40:44.4 | 2 | 42:44.4 |
| 13 | Valj Semerenko | UKR | 41:44.5 | 1 | 42:44.5 |
| 14 | Ann Kristin Flatland | NOR | 41:06.4 | 2 | 43:06.4 |
| 16 | Krystyna Pałka | POL | 42:09.6 | 1 | 43:09.6 |
| 16 | Olga Kudryashova | BLR | 43:11.3 | 0 | 43:11.3 |
| 17 | Anna-Carin Olofsson-Zidek | SWE | 41:12.1 | 2 | 43:12.1 |
| 18 | Katja Haller | ITA | 43:12.4 | 0 | 43:12.4 |
| 19 | Andreja Mali | SLO | 43:14.4 | 0 | 43:14.4 |
| 20 | Liu Xianying | CHN | 41:16.2 | 2 | 43:16.2 |
| 21 | Olga Medvedtseva | RUS | 41:25.9 | 2 | 43:25.9 |
| 22 | Vita Semerenko | UKR | 41:30.8 | 2 | 43:30.8 |
| 23 | Lanny Barnes | USA | 43:31.8 | 0 | 43:31.8 |
| 24 | Anna Maria Nilsson | SWE | 42:44.0 | 1 | 43:44.0 |
| 25 | Anna Bogaly-Titovets | RUS | 40:46.3 | 3 | 43:46.3 |
| 26 | Olga Zaytseva | RUS | 40:46.8 | 3 | 43:46.8 |
| 27 | Michela Ponza | ITA | 42:54.4 | 1 | 43:54.4 |
| 28 | Nadezhda Skardino | BLR | 43:09.4 | 1 | 44:09.4 |
| 29 | Martina Beck | GER | 42:12.0 | 2 | 44:12.0 |
| 30 | Sylvie Becaert | FRA | 41:13.2 | 3 | 44:13.2 |
| 30 | Diana Rasimovičiūtė | LTU | 41:13.2 | 3 | 44:13.2 |
| 32 | Olena Pidhrushna | UKR | 42:15.9 | 2 | 44:15.9 |
| 33 | Wang Chunli | CHN | 41:18.0 | 3 | 44:18.0 |
| 34 | Sara Studebaker | USA | 43:27.3 | 1 | 44:27.3 |
| 35 | Dijana Ravnikar | SLO | 42:27.4 | 2 | 44:27.4 |
| 36 | Teja Gregorin | SLO | 41:29.1 | 3 | 44:29.1 |
| 37 | Natalia Levcencova | MDA | 42:34.9 | 2 | 44:34.9 |
| 38 | Anna Lebedeva | KAZ | 42:36.3 | 2 | 44:36.3 |
| 39 | Anastazia Kuzmina | SVK | 40:16.0 | 5 | 15:16.0 |
| 40 | Selina Gasparin | SUI | 42:23.6 | 3 | 45:23.6 |
| 41 | Mihaela Purdea | ROU | 42:27.7 | 3 | 45:27.7 |
| 42 | Eveli Saue | EST | 43:27.9 | 2 | 45:27.9 |
| 43 | Mari Laukkanen | FIN | 42:36.4 | 3 | 45:36.4 |
| 44 | Martina Halinárová | SVK | 42:38.7 | 3 | 45:38.7 |
| 45 | Kadri Lehtla | EST | 43:43.0 | 2 | 45:43.0 |
| 46 | Kaisa Mäkäräinen | FIN | 41:46.4 | 4 | 45:46.4 |
| 46 | Janka Gereková | SVK | 41:46.4 | 4 | 45:46.4 |
| 48 | Nina Klenovska | BUL | 42:49.8 | 3 | 45:49.8 |
| 49 | Helena Jonsson | SWE | 41:52.9 | 4 | 45:52.9 |
| 50 | Megan Tandy | CAN | 43:04.3 | 3 | 46:04.3 |
| 51 | Marie Dorin | FRA | 42:17.7 | 4 | 46:17.7 |
| 52 | Sandrine Bailly | FRA | 41:28.8 | 5 | 46:28.8 |
| 53 | Song Chaoqing | CHN | 42:30.3 | 4 | 46:30.3 |
| 53 | Fuyuko Suzuki | JPN | 43:30.3 | 3 | 46:30.3 |
| 55 | Zdeňka Vejnarová | CZE | 42:38.0 | 4 | 46:38.0 |
| 56 | Yana Romanova | RUS | 42:41.0 | 4 | 46:41.0 |
| 57 | Lyubov Filimonova | KAZ | 43:45.4 | 3 | 46:45.4 |
| 58 | Kong Yingchao | CHN | 42:46.2 | 4 | 46:46.2 |
| 59 | Magdalena Gwizdoń | POL | 42:46.7 | 4 | 46:46.7 |
| 60 | Gabriela Soukalová | CZE | 44:49.8 | 2 | 46:49.8 |
| 61 | Solveig Rogstad | NOR | 42:55.1 | 4 | 46:55.1 |
| 62 | Megan Imrie | CAN | 43:05.8 | 4 | 47:05.8 |
| 63 | Tadeja Brankovič-Likozar | SLO | 43:09.5 | 4 | 47:09.5 |
| 64 | Magda Rezlerová | CZE | 42:13.1 | 5 | 47:13.1 |
| 65 | Laura Spector | USA | 45:19.3 | 2 | 47:19.3 |
| 66 | Haley Johnson | USA | 43:19.4 | 4 | 47:19.4 |
| 67 | Madara Līduma | LAT | 41:30.2 | 6 | 47:30.2 |
| 68 | Veronika Vitková | CZE | 43:33.4 | 4 | 47:33.4 |
| 69 | Gerda Krūmina | LAT | 44:00.1 | 4 | 48:00.1 |
| 70 | Liv Kjersti Eikeland | NOR | 43:00.7 | 5 | 48:00.7 |
| 71 | Marina Lebedeva | KAZ | 45:04.9 | 3 | 48:04.9 |
| 72 | Zina Kocher | CAN | 42:19.3 | 6 | 48:19.3 |
| 73 | Mun Ji-Hui | KOR | 43:53.9 | 5 | 48:53.9 |
| 74 | Reka Ferencz | ROU | 44:54.9 | 4 | 48:54.9 |
| 75 | Karin Oberhofer | ITA | 42:18.6 | 7 | 49:18.6 |
| 76 | Rosanna Crawford | CAN | 45:22.1 | 4 | 49:22.1 |
| 77 | Elisabeth Högberg | SWE | 45:46.5 | 4 | 49:46.5 |
| 78 | Līga Glāzere | LAT | 45:20.3 | 5 | 50:20.3 |
| 79 | Christa Perathoner | ITA | 45:23.3 | 5 | 50:23.3 |
| 80 | Ľubomíra Kalinová | SVK | 43:38.7 | 7 | 50:38.7 |
| 81 | Dana Plotogea | ROU | 44:01.1 | 7 | 51:01.1 |
| 82 | Sarah Murphy | NZL | 46:54.9 | 6 | 52:54.9 |
| 83 | Andrijana Stipaničić | CRO | 48:06.1 | 5 | 53:06.1 |
| 84 | Žanna Juškāne | LAT | 46:36.4 | 7 | 53:36.4 |
| 85 | Panagiota Tsakiri | GRE | 47:36.3 | 7 | 54:36.3 |
| 86 | Victoria Padial | ESP | 48:41.8 | 8 | 56:41.8 |
| Did not finish | |||||
| Tanja Karišik | BIH | ||||