| 1 |  Liane Lippert (GER) | Movistar Team | 2:59:31 |
| 2 |  Cecilie Uttrup Ludwig (DEN) | | 0:13 |
| 3 |  Elisa Balsamo (ITA) | Trek - Segafredo | 0:23 |
| 4 | Francesca Barale (ITA) | Team Dsm | 0:24 |
| 5 |  Alena Amialyusik (BLR) | Uae Team Adq | 0:31 |
| 6 |  Tamara Dronova-Balabolina (RUS) | Team Jayco Alula | 0:37 |
| 7 |  Arlenis Sierra Cañadilla (CUB) | Movistar Team | s.t. |
| 8 |  Femke Gerritse (NED) | Parkhotel Valkenburg | s.t. |
| 9 | Nienke Vinke (NED) | Team Dsm | s.t. |
| 10 | Silvia Persico (ITA) | Uae Team Adq | s.t. |
| 11 |  Évita Muzic (FRA) | Fdj - Suez | s.t. |
| 12 | Erica Magnaldi (ITA) | Uae Team Adq | s.t. |
| 13 |  Rasa Leleivyte (LTU) | Aromitalia - Basso Bikes - Vaiano | s.t. |
| 14 | Nadia Quagliotto (ITA) | Laboral Kutxa - Fundación Euskadi | s.t. |
| 15 | Jade Wiel (FRA) | Fdj - Suez | s.t. |
| 16 | Juliette Labous (FRA) | Team Dsm | s.t. |
| 17 |  Amber Pate (AUS) | Groupama - Fdj | s.t. |
| 18 | Riejanne Markus (NED) | Team Jumbo - Visma | s.t. |
| 19 |  Ursa Pintar (SLO) | Btc - City Ljubljana - Scott | s.t. |
| 20 |  Claire Steels (GBR) | Team Jayco Alula | s.t. |
| 21 |  Elena Hartmann (SWI) | Israel Premier Tech Roland | s.t. |
| 22 |  Olivia Baril (CAN) | Uae Team Adq | s.t. |
| 23 |  Paula Andrea Patiño Bedoya (COL) | Movistar Team | s.t. |
| 24 | Morgane Coston (FRA) | Cofidis Women Team | s.t. |
| 25 |  Edseth Marte Berg (NOR) | Uno-X Pro Cycling Team | s.t. |
| 26 | Clara Koppenburg (GER) | Cofidis Women Team | s.t. |
| 27 | Esmée Peperkamp (NED) | Team Dsm | s.t. |
| 28 | Gaia Realini (ITA) | Trek - Segafredo | s.t. |
| 29 | Eva Van Agt (NED) | Team Jumbo - Visma | s.t. |
| 30 | Anouska Koster (NED) | Uno-X Pro Cycling Team | 0:59 |
| 31 |  Yuliia Biriukova (UKR) | | s.t. |
| 32 | Chiara Doni (ITA) | | 1:00 |
| 33 | Rachel Neylan (AUS) | Cofidis Women Team | s.t. |
| 34 | Victorie Guilman (FRA) | Fdj - Suez | s.t. |
| 35 | Barbara Malcotti (ITA) | Human Powered Health | s.t. |
| 36 | Angela Oro (ITA) | | s.t. |
| 37 | Giorgia Vettorello (ITA) | Be Pink | s.t. |
| 38 | Rosita Reijnhout (NED) | Team Jumbo - Visma | s.t. |
| 39 |  Jelena Eric (SCG) | Movistar Team | s.t. |
| 40 | Elisa Valtulini (ITA) | | 1:33 |
| 41 | Sofia Bertizzolo (ITA) | Uae Team Adq | 1:44 |
| 42 | Julie Bego (FRA) | | 1:51 |
| 43 | Valeriya Kononenko (UKR) | | s.t. |
| 44 |  Karolina Perekitko (POL) | | s.t. |
| 45 | Marit Raaijmakers (NED) | Human Powered Health | s.t. |
| 46 | Loes Adegeest (NED) | Fdj - Suez | 2:56 |
| 47 | Anne Knijnenburg (NED) | | 3:06 |
| 48 | Pauline Allin (FRA) | | 4:06 |
| 49 | Quinty Schoens (NED) | Parkhotel Valkenburg | s.t. |
| 50 | Elizabeth Stannard (AUS) | | s.t. |
| 51 | Yana Myalitsina (RUS) | | s.t. |
| 52 | Natalia Franco Villegas (COL) | | s.t. |
| 53 | Mareille Meijering (NED) | | s.t. |
| 54 |  Ainhoa Moreno Ossowsky (SPA) | Aromitalia - Basso Bikes - Vaiano | s.t. |
| 55 | Eneritz Vadillo Crespo (SPA) | Laboral Kutxa - Fundación Euskadi | s.t. |
| 56 | Eleonora Ciabocco (ITA) | Team Dsm | s.t. |
| 57 | Marta Romeu Solaz (SPA) | Laboral Kutxa - Fundación Euskadi | s.t. |
| 58 | Stephanie Hibburt (AUS) | | s.t. |
| 59 | Nina Buijsman (NED) | Human Powered Health | s.t. |
| 60 |  Nathalie Eklund (SWE) | Team Jayco Alula | s.t. |
| 61 | Léa Curinier (FRA) | Team Dsm | s.t. |
| 62 | Silvia Zanardi (ITA) | Be Pink | s.t. |
| 63 | Alessia Vigilia (ITA) | | s.t. |
| 64 | Sara Martín Martín (SPA) | Movistar Team | 4:51 |
| DNF | Elynor Backstedt (GBR) | Trek - Segafredo | - |
| DNF | Ilaria Sanguineti (ITA) | Trek - Segafredo | - |
| DNF | Irene Affolati (ITA) | Aromitalia - Basso Bikes - Vaiano | - |
| DNF | Fanny Bonini (ITA) | | - |
| DNF | Serena Brillante Romeo (ITA) | | - |
| DNF | Fabia Maramotti (ITA) | | - |
| DNF | Valentina Basilico (ITA) | Be Pink | - |
| DNF | Andrea Casagranda (ITA) | Be Pink | - |
| DNF | Prisca Savi (ITA) | Be Pink | - |
| DNF | Martina Testa (ITA) | | - |
| DNF | Rachele Bonzanini (ITA) | Born to Win G20 Ambedo | - |
| DNF | Lea Fuchs (SWI) | Born to Win G20 Ambedo | - |
| DNF | Nika Myalitsina (RUS) | | - |
| DNF | Marta Romance I Oms (SPA) | | - |
| DNF | Spela Colnar (SLO) | Btc - City Ljubljana - Scott | - |
| DNF | Ema Pirs (SLO) | Btc - City Ljubljana - Scott | - |
| DNF | Tjasa Susnik (SLO) | Btc - City Ljubljana - Scott | - |
| DNF | Hana Zumer (SLO) | Btc - City Ljubljana - Scott | - |
| DNF | Flavie Boulais (FRA) | Cofidis Women Team | - |
| DNF | Emilie Fortin (CAN) | | - |
| DNF |  Ashley Frye (USA) | | - |
| DNF | Greta Richioud (FRA) | | - |
| DNF | Nicole Steinmetz (USA) | | - |
| DNF | Marta Cavalli (ITA) | Fdj - Suez | - |
| DNF |  Henrietta Christie (NZL) | Human Powered Health | - |
| DNF |  Antri Christoforou (CYP) | Human Powered Health | - |
| DNF | Carmela Cipriani (ITA) | Isolmant - Premac - Vittoria | - |
| DNF | Valeria Curnis (ITA) | | - |
| DNF | Sara Pepoli (ITA) | Isolmant - Premac - Vittoria | - |
| DNF | Emanuela Zanetti (ITA) | | - |
| DNF | Sonia Rossetti (ITA) | GB Junior Team Piemonte Pedale Castanese A.S.D. | - |
| DNF | Asia Zontone (ITA) | Isolmant - Premac - Vittoria | - |
| DNF | Elena Pirrone (ITA) | Team Jayco Alula | - |
| DNF | Usoa Ostolaza Zabala (SPA) | | - |
| DNF | Debora Silvestri (ITA) | | - |
| DNF | Mireia Trias Jordán (SPA) | Laboral Kutxa - Fundación Euskadi | - |
| DNF | Maryna Altukhova (UKR) | | - |
| DNF | Alina Bogdan (UKR) | | - |
| DNF | Nataliia Safroniuk (UKR) | | - |
| DNF | Tetiana Yashchenko (UKR) | | - |
| DNF | Lieke Nooijen (NED) | Parkhotel Valkenburg | - |
| DNF | Scarlett Souren (NED) | Parkhotel Valkenburg | - |
| DNF | Kirstie van Haaften (NED) | Parkhotel Valkenburg | - |
| DNF |  Veronika Bartoníková (CZE) | | - |
| DNF | Gabriela Bártová (CZE) | | - |
| DNF | Nicole Hartychová (CZE) | | - |
| DNF | Jarmila Machacová (CZE) | | - |
| DNF | Barbora Nemcová (CZE) | | - |
| DNF | Nela Slaníková (CZE) | | - |
| DNF | Noémie Daumas (FRA) | | - |
| DNF | Leonie Laubig (GER) | | - |
| DNF | Laura Marti Selles (SPA) | | - |
| DNF | Manon Souyris (FRA) | | - |
| DNF | Jessica Allen (AUS) | Groupama - Fdj | - |
| DNF |  Teniel Campbell (TRI) | | - |
| DNF | Nina Kessler (NED) | Groupama - Fdj | - |
| DNF | Amber Kraak (NED) | Team Jumbo - Visma | - |
| DNF | Maud Oudeman (NED) | Team Jumbo - Visma | - |
| DNF | Linda Riedmann (GER) | Team Jumbo - Visma | - |
| DNF | Alice Capasso (ITA) | | - |
| DNF | Michela De Grandis (ITA) | | - |
| DNF | Beatrice Pozzobon (ITA) | | - |
| DNF | Martina Sanfilippo (ITA) | | - |
| DNF | Virginia Bortoli (ITA) | | - |
| DNF | Alice Palazzi (ITA) | | - |
| DNF | Chiara Reghini (ITA) | | - |
| DNF | Gaia Segato (ITA) | | - |
| DNF | Cristina Tonetti (ITA) | | - |
| DNF | Francesca Pellegrini (ITA) | | - |
| DNF | Hannah Ludwig (GER) | Uno-X Pro Cycling Team | - |
| DNF | Wilma Olausson (SWE) | Uno-X Pro Cycling Team | - |
| DNF |  Selam Amha Gerefiel (ETH) | | - |
| DNF | Anna Kolyzhuk (UKR) | | - |
| DNF | Dziyana Lebedz (BLR) | | - |
| DNF |  Luciana Roland (ARG) | | - |
| DNF |  Elina Tasane (EST) | | - |
| DNF |  Argiro Milaki (GRE) | | - |
| DNF | Amalia Langham (AUS) | | - |
| DNF | Sharni Morley (AUS) | | - |
| DNF | Darcie Richards (AUS) | | - |
| DNF | Romina Costantini (ITA) | | - |
| DNF | Elisa De Vallier (ITA) | | - |
| DNF | Alessia Foligno (ITA) | | - |
| DNF | Giulia Miotto (ITA) | GB Junior Team Piemonte Pedale Castanese A.S.D. | - |
| DNF | Martina Silvestri (ITA) | | - |
| DNF | Giulia Vallotto (ITA) | | - |
| DNF | Noemi Lucrezia Eremita (ITA) | Isolmant - Premac - Vittoria | - |
| DNF | Giulia Giuliani (ITA) | GB Junior Team Piemonte Pedale Castanese A.S.D. | - |
| DNF | Vittoria Ruffilli (ITA) | GB Junior Team Piemonte Pedale Castanese A.S.D. | - |
| DNS | Elinor Barker (GBR) | Uno-X Pro Cycling Team | - |
