| 1 |  Elisa Balsamo (ITA) | Lidl - Trek | 3:40:09 |
| 2 |  Lotte Kopecky (BEL) | Team SD Worx | 0:01 |
| 3 |  Puck Pieterse (P-B) | Fenix-Deceuninck | mt |
| 4 | Soraya Paladin (ITA) | Canyon - Sram Racing | mt |
| 5 |  Pfeiffer Georgi (G-B) | Team Dsm-Firmenich Post NL | mt |
| 6 | Karlijn Swinkels (P-B) | Uae Team Adq | mt |
| 7 |  Olivia Baril (CAN) | Movistar Team | mt |
| 8 | Silvia Persico (ITA) | Uae Team Adq | mt |
| 9 |  Évita Muzic (FRA) | Fdj - Suez | mt |
| 10 |  Niamh Fisher-Black (NZL) | Team SD Worx | mt |
| 11 |  Kimberley Pienaar - Le Court de Billot (MAU) | | mt |
| 12 | Magdeleine Vallieres Mill (CAN) | EF Education - Cannondale | 0:02 |
| 13 |  Elise Chabbey (SUI) | Canyon - Sram Racing | mt |
| 14 | Yara Kastelijn (P-B) | Fenix-Deceuninck | 0:03 |
| 15 | Marlen Reusser (SUI) | Team SD Worx | mt |
| 16 |  Ricarda Bauernfeind (ALL) | Canyon - Sram Racing | mt |
| 17 |  Nikola Nosková (RTC) | Cofidis Women Team | mt |
| 18 |  Margarita Victoria García Cañellas (ESP) | Liv-Alula-Jayco | 0:04 |
| 19 | Ane Santesteban González (ESP) | Laboral Kutxa - Fundación Euskadi | mt |
| 20 | Erica Magnaldi (ITA) | Uae Team Adq | mt |
| 21 | Juliette Labous (FRA) | Team Dsm-Firmenich Post NL | mt |
| 22 | Barbara Malcotti (ITA) | Human Powered Health | mt |
| 23 | Shirin van Anrooij (P-B) | Lidl - Trek | 0:06 |
| 24 |  Sarah Gigante (AUS) | AG Insurance - Soudal Team | 0:07 |
| 25 | Mareille Meijering (P-B) | Movistar Team | 0:11 |
| 26 | Gaia Realini (ITA) | Lidl - Trek | 1:26 |
| 27 | Neve Bradbury (AUS) | Canyon - Sram Racing | 1:42 |
| 28 | Morgane Coston (FRA) | Cofidis Women Team | mt |
| 29 |  Caroline Andersson (SUE) | Liv-Alula-Jayco | 1:43 |
| 30 | Justine Ghekiere (BEL) | AG Insurance - Soudal Team | mt |
| 31 |  Ursa Pintar (SLO) | | mt |
| 32 | Ella Wyllie (NZL) | Liv-Alula-Jayco | mt |
| 33 | Pauliena Rooijakkers (P-B) | Fenix-Deceuninck | mt |
| 34 | Kimberly Cadzow (NZL) | EF Education - Cannondale | 1:44 |
| 35 | Nadia Quagliotto (ITA) | Laboral Kutxa - Fundación Euskadi | mt |
| 36 | Amanda Spratt (AUS) | Lidl - Trek | 1:45 |
| 37 | Francesca Barale (ITA) | Team Dsm-Firmenich Post NL | 3:27 |
| 38 | Julie Bego (FRA) | Cofidis Women Team | mt |
| 39 | Eleonora Ciabocco (ITA) | Team Dsm-Firmenich Post NL | mt |
| 40 | Urska Zigart (SLO) | Liv-Alula-Jayco | 3:28 |
| 41 |  Ingvild Gåskjenn (NOR) | Liv-Alula-Jayco | 3:30 |
| 42 |  Arlenis Sierra Cañadilla (CUB) | Movistar Team | mt |
| 43 | Greta Marturano (ITA) | | mt |
| 44 | Jade Wiel (FRA) | Fdj - Suez | mt |
| 45 |  Alena Amialyusik (BLR) | Uae Team Adq | mt |
| 46 | Mireia Benito Pellicer (ESP) | AG Insurance - Soudal Team | mt |
| 47 | Sofia Bertizzolo (ITA) | Uae Team Adq | mt |
| 48 | Julie Van De Velde (BEL) | AG Insurance - Soudal Team | 3:33 |
| 49 | Marta Cavalli (ITA) | Fdj - Suez | mt |
| 50 | Femke Gerritse (P-B) | Team SD Worx | 3:35 |
| 51 | Audrey Cordon-Ragot (FRA) | Human Powered Health | 5:59 |
| 52 | Floortje Mackaij (P-B) | | mt |
| 53 | Spela Kern (SLO) | Cofidis Women Team | mt |
| 54 | Grace Brown (AUS) | Fdj - Suez | mt |
| 55 | Natalie Grinczer (G-B) | Roland | mt |
| 56 | Amber Pate (AUS) | Liv-Alula-Jayco | mt |
| 57 |  Paula Andrea Patiño Bedoya (COL) | Movistar Team | mt |
| DNF | Brodie Chapman (AUS) | Lidl - Trek | - |
| DNF | Elizabeth Deignan-Armitstead (G-B) | Lidl - Trek | - |
| DNF | Elena Cecchini (ITA) | Team SD Worx | - |
| DNF | Barbara Guarischi (ITA) | Team SD Worx | - |
| DNF | Tiffany Cromwell (AUS) | Canyon - Sram Racing | - |
| DNF | Mikayla Harvey (NZL) | Uae Team Adq | - |
| DNF |  Yuliia Biriukova (UKR) | Human Powered Health | - |
| DNF | Henrietta Christie (NZL) | Human Powered Health | - |
| DNF | Katia Ragusa (ITA) | Human Powered Health | - |
| DNF | Linda Zanetti (SUI) | Human Powered Health | - |
| DNF |  Anna Kiesenhofer (AUT) | Roland | - |
| DNF |  Antri Christoforou (CHY) | Roland | - |
| DNF |  Thi That Nguyen (VIE) | Roland | - |
| DNF | Eglantine Rayer (FRA) | Team Dsm-Firmenich Post NL | - |
| DNF | Becky Storrie (G-B) | Team Dsm-Firmenich Post NL | - |
| DNF |  Jelena Eric (SRB) | Movistar Team | - |
| DNF | Vittoria Guazzini (ITA) | Fdj - Suez | - |
| DNF | Millie Couzens (G-B) | Fenix-Deceuninck | - |
| DNF | Petra Stiasny (SUI) | Fenix-Deceuninck | - |
| DNF | Flavie Boulais (FRA) | Cofidis Women Team | - |
| DNF | Kirstie van Haaften (P-B) | Cofidis Women Team | - |
| DNF | Clara Emond (CAN) | EF Education - Cannondale | - |
| DNF | Clara Koppenburg (ALL) | EF Education - Cannondale | - |
| DNF |  Coryn Labecki (E-U) | EF Education - Cannondale | - |
| DNF | Usoa Ostolaza Zabala (ESP) | Laboral Kutxa - Fundación Euskadi | - |
| DNF | Debora Silvestri (ITA) | Laboral Kutxa - Fundación Euskadi | - |
| DNF | Aileen Schweikart (ALL) | Laboral Kutxa - Fundación Euskadi | - |
| DNF | Jessenia Alejandra Meneses Gonzalez (COL) | Laboral Kutxa - Fundación Euskadi | - |
| DNF | Irene Mendez Melgarejo (ESP) | Eneicat - Cmteam | - |
| DNF | Ariana Gilabert Vilaplana (ESP) | Eneicat - Cmteam | - |
| DNF | Adele Normand (CAN) | Eneicat - Cmteam | - |
| DNF | Alessia Bulleri (ITA) | Eneicat - Cmteam | - |
| DNF | Isabel Martín Martín (ESP) | Eneicat - Cmteam | - |
| DNF | Rebekka Pigolotti (ITA) | A.S.D. K2 Women Team | - |
| DNF | Vittoria Ruffilli (ITA) | A.S.D. K2 Women Team | - |
| DNF | Noemi Lucrezia Eremita (ITA) | A.S.D. K2 Women Team | - |
| DNF | Gemma Sernissi (ITA) | A.S.D. K2 Women Team | - |
| DNF | Sara Pellegrini (ITA) | A.S.D. K2 Women Team | - |
| DNF | Alice Papo (ITA) | A.S.D. K2 Women Team | - |
| DNF | Spela Colnar (SLO) | | - |
| DNF |  Yelizaveta Sklyarova (KAZ) | | - |
| DNF | Giada Borghesi (ITA) | | - |
| DNF | Giulia Luciani (ITA) | | - |
| DNF | Giorgia Serena (ITA) | | - |
| DNF |  Rasa Leleivyte (LTU) | Aromitalia 3T Vaiano | - |
| DNF | Irene Affolati (ITA) | Aromitalia 3T Vaiano | - |
| DNF | Fanny Bonini (ITA) | Aromitalia 3T Vaiano | - |
| DNF | Serena Brillante Romeo (ITA) | Aromitalia 3T Vaiano | - |
| DNF | Romina Costantini (ITA) | | - |
| DNF | Valentina Zanzi (ITA) | Aromitalia 3T Vaiano | - |
| DNF | Valeria Curnis (ITA) | | - |
| DNF | Beatrice Rossato (ITA) | | - |
| DNF | Gaia Tormena (ITA) | | - |
| DNF | Asia Zontone (ITA) | | - |
| DNF | Sonia Rossetti (ITA) | | - |
| DNF | Michela De Grandis (ITA) | | - |
| DNF | Sara Piffer (ITA) | | - |
| DNF | Giulia Vallotto (ITA) | | - |
| DNF | Giulia Miotto (ITA) | | - |
| DNF | Maria Pia Chiatto (ITA) | | - |
| DNF | Alice Capasso (ITA) | | - |
| DNF | Alice Toniolli (ITA) | Top Girls Fassa Bortolo | - |
| DNF | Elisa De Vallier (ITA) | Top Girls Fassa Bortolo | - |
| DNF | Iris Monticolo (ITA) | Top Girls Fassa Bortolo | - |
| DNF | Alice Palazzi (ITA) | Top Girls Fassa Bortolo | - |
| DNF | Marta Pavesi (ITA) | Top Girls Fassa Bortolo | - |
| DNF | Gaia Segato (ITA) | Top Girls Fassa Bortolo | - |
| DNF | Elisa Valtulini (ITA) | | - |
| DNF | Angela Oro (ITA) | | - |
| DNF | Monica Trinca Colonel (ITA) | | - |
| DNF | Selene Colombi (ITA) | | - |
| DNF | Irene Cagnazzo (ITA) | | - |
| DNF | Beatrice Pozzobon (ITA) | | - |
