| 1 | USA United States | O'Connor Christopher, Nichols Noah, Dahlgren Jack Andrew, Carrozza Coby | 03'37''19 | 862 |  |  | |
50m 26.54 (26.54) 100m 55.38 (28.84) [55.38] 150m 59.91 (04.53) 200m 1:55.29 (55.38) [59.91] 250m 2:47.63 (52.34) 300m 3:37.19 (49.56) [1:41.90] |
| 2 | BRA Brazil | De Araujo Fantoni Gabriel, Rached Windmuller Raphael, Melo Baganha Victor, Guimaraes Alcara Victor | 03'37''45 | 859 | | | |
50m 26.58 (26.58) 100m 55.01 (28.43) [55.01] 150m 1:01.14 (06.13) 200m 1:56.15 (55.01) [1:01.14] 250m 2:49.07 (52.92) 300m 3:37.45 (48.38) [1:41.30] |
| 3 | CAN Canada | Dommann Raben Severin, Taivassalo Brayden, Ogilvie Keir, Fullum Huot Edouard | 03'39''27 | 838 | | | |
50m 27.35 (27.35) 100m 55.09 (27.74) [55.09] 150m 1:00.89 (05.80) 200m 1:55.98 (55.09) [1:00.89] 250m 2:49.87 (53.89) 300m 3:39.27 (49.40) [1:43.29] |
| 4 | MEX Mexico | Xianyang Song Andy, Puente Bustamante Andres Eduardo, Iga Cesar Jorge Andres, Cano Figueroa Jose Alberto | 03'42''22 | 805 | | | |
50m 27.25 (27.25) 100m 56.49 (29.24) [56.49] 150m 1:01.46 (04.97) 200m 1:57.95 (56.49) [1:01.46] 250m 2:50.57 (52.62) 300m 3:42.22 (51.65) [1:44.27] |
| 5 | COL Colombia | Rincon Velasco Anthony, Murillo Valdes Jorge Mario, Reales Arrieta Esnaider Rey, Camacho Gomez Sebastian David | 03'45''07 | 775 | | | |
50m 26.98 (26.98) 100m 56.37 (29.39) [56.37] 150m 1:01.66 (05.29) 200m 1:58.03 (56.37) [1:01.66] 250m 2:52.19 (54.16) 300m 3:45.07 (52.88) [1:47.04] |
| 6 | ARG Argentina | Hernandez Gaston Agustin, Carrocia Juan Bautista, Luduena Federico Agustin, Santiso Matias | 03'46''72 | 758 | | | |
50m 28.10 (28.10) 100m 57.55 (29.45) [57.55] 150m 1:03.39 (05.84) 200m 2:00.94 (57.55) [1:03.39] 250m 2:55.84 (54.90) 300m 3:46.72 (50.88) [1:45.78] |
| 7 | CHI Chile | Vargas Edhy, Lazzerini Mariano, Schnapp Benjamin, Ardiles Elias Ignacio | 03'47''76 | 748 | | | |
50m 28.46 (28.46) 100m 57.92 (29.46) [57.92] 150m 1:02.34 (04.42) 200m 2:00.26 (57.92) [1:02.34] 250m 2:54.88 (54.62) 300m 3:47.76 (52.88) [1:47.50] |
| 8 | VEN Venezuela | Mas Fraiz Diego, Veit Vanmarcke Eric, Otaiza Hernandez Jorge Eliezer, Perez Avila Emil Jose | 03'49''32 | 733 | | | |
50m 28.66 (28.66) 100m 1:00.72 (32.06) [1:00.72] 150m 1:04.08 (03.36) 200m 2:04.80 (1:00.72) [1:04.08] 250m 2:57.92 (53.12) 300m 3:49.32 (51.40) [1:44.52] |
| 9 | NIA Neutral Independent Athletes | Gordillo Guzman Erick Oswaldo, Bonilla Flores Roberto, Gossmann Jerez Christopher, Vasquez Fontenot Miguel Eduardo | 03'49''64 | 730 | | | |
50m 28.10 (28.10) 100m 58.41 (30.31) [58.41] 150m 1:02.91 (04.50) 200m 2:01.32 (58.41) [1:02.91] 250m 2:58.24 (56.92) 300m 3:49.64 (51.40) [1:48.32] |
| 10 | BAH Bahamas | Taylor Lamar, Thompson Mark Anthony, Gadson Emmanuel, Thompson Luke Kennedy | 03'53''92 | 690 | | | |
50m 27.20 (27.20) 100m 56.90 (29.70) [56.90] 150m 1:06.36 (09.46) 200m 2:03.26 (56.90) [1:06.36] 250m 3:00.23 (56.97) 300m 3:53.92 (53.69) [1:50.66] |
| 11 | PER Peru | Cobos Davelouis Carlos Santiago, Vargas Gallo Joaquin, Espinosa Ricardo, Ponce De Leon Castilla Rafael | 04'05''23 | 599 | | | |
50m 28.44 (28.44) 100m 58.20 (29.76) [58.20] 150m 1:15.78 (17.58) 200m 2:13.98 (58.20) [1:15.78] 250m 3:12.12 (58.14) 300m 4:05.23 (53.11) [1:51.25] |
