List of World Aquatics Championships medalists in open water swimming
# List of World Aquatics Championships medalists in open water swimming

This is a list of the medalists of the open water swimming competitions at the World Aquatics Championships. Medalists at the FINA World Open Water Swimming Championships, which have been held as separate events in the even years between 2000 and 2010, have not been included.

## Men

Bold numbers in brackets denotes record number of victories in corresponding disciplines.

### 5 km (1998–present)

| Event | Gold | Silver | Bronze |
| - | - | - | - |
| 1998 Perth | Aleksey Akatyev Russia | Ky Hurst Australia | Luca Baldini Italy |
| 2001 Fukuoka | Luca Baldini Italy | Yevgeny Bezruchenko Russia | Marco Formentini Italy |
| 2003 Barcelona | Evgeny Koshkarov Russia | Christian Hein Germany | Vladimir Dyatchin Russia |
| 2005 Montreal | Thomas Lurz Germany | Chip Peterson United States | Simone Ercoli Italy |
| 2007 Melbourne | Thomas Lurz Germany | Evgeny Drattsev Russia | Spyridon Gianniotis Greece |
| 2009 Rome | Thomas Lurz Germany | Spyridon Gianniotis Greece | Chad Ho South Africa |
| 2011 Shanghai | Thomas Lurz (4) Germany | Spyridon Gianniotis Greece | Evgeny Drattsev Russia |
| 2013 Barcelona | Oussama Mellouli Tunisia | Eric Hedlin Canada | Thomas Lurz Germany |
| 2015 Kazan | Chad Ho South Africa | Rob Muffels Germany | Matteo Furlan Italy |
| 2017 Budapest | Marc-Antoine Olivier France | Mario Sanzullo Italy | Timothy Shuttleworth Great Britain |
| 2019 Gwangju | Kristóf Rasovszky Hungary | Logan Fontaine France | Eric Hedlin Canada |
| 2022 Budapest | Florian Wellbrock Germany | Gregorio Paltrinieri Italy | Mykhailo Romanchuk Ukraine |
| 2023 Fukuoka | Florian Wellbrock Germany | Gregorio Paltrinieri Italy | Domenico Acerenza Italy |

* Medals:

| Rank | Nation | Gold | Silver | Bronze | Total |
| - | - | - | - | - | - |
| 1 | Germany | 6 | 2 | 1 | 9 |
| 2 | Russia | 2 | 2 | 2 | 6 |
| 3 | Italy | 1 | 3 | 5 | 9 |
| 4 | France | 1 | 1 | 0 | 2 |
| 5 | South Africa | 1 | 0 | 1 | 2 |
| 6 | Hungary | 1 | 0 | 0 | 1 |
| 6 | Tunisia | 1 | 0 | 0 | 1 |
| 8 | Greece | 0 | 2 | 1 | 3 |
| 9 | Canada | 0 | 1 | 1 | 2 |
| 10 | Australia | 0 | 1 | 0 | 1 |
| 10 | United States | 0 | 1 | 0 | 1 |
| 12 | Great Britain | 0 | 0 | 1 | 1 |
| 12 | Ukraine | 0 | 0 | 1 | 1 |
| Totals (13 entries) | Totals (13 entries) | 13 | 13 | 13 | 39 |

### 10 km (2001–present)

| Event | Gold | Silver | Bronze |
| - | - | - | - |
| 2001 Fukuoka | Yevgeny Bezruchenko Russia | Vladimir Dyatchin Russia | Fabio Venturini Italy |
| 2003 Barcelona | Vladimir Dyatchin Russia | Christian Hein Germany | David Meca Spain |
| 2005 Montreal | Chip Peterson United States | Thomas Lurz Germany | Petar Stoychev Bulgaria |
| 2007 Melbourne | Vladimir Dyatchin (2) Russia | Thomas Lurz Germany | Evgeny Drattsev Russia |
| 2009 Rome | Thomas Lurz Germany | Andrew Gemmell United States | Fran Crippen United States |
| 2011 Shanghai | Spyridon Gianniotis Greece | Thomas Lurz Germany | Sergey Bolshakov Russia |
| 2013 Barcelona | Spyridon Gianniotis (2) Greece | Thomas Lurz Germany | Oussama Mellouli Tunisia |
| 2015 Kazan | Jordan Wilimovsky United States | Ferry Weertman Netherlands | Spyridon Gianniotis Greece |
| 2017 Budapest | Ferry Weertman Netherlands | Jordan Wilimovsky United States | Marc-Antoine Olivier France |
| 2019 Gwangju | Florian Wellbrock Germany | Marc-Antoine Olivier France | Rob Muffels Germany |
| 2022 Budapest | Gregorio Paltrinieri Italy | Domenico Acerenza Italy | Florian Wellbrock Germany |
| 2023 Fukuoka | Florian Wellbrock (2) Germany | Kristóf Rasovszky Hungary | Oliver Klemet Germany |

* Medals:

| Rank | Nation | Gold | Silver | Bronze | Total |
| - | - | - | - | - | - |
| 1 | Germany | 3 | 5 | 3 | 11 |
| 2 | Russia | 3 | 1 | 2 | 6 |
| 3 | United States | 2 | 2 | 1 | 5 |
| 4 | Greece | 2 | 0 | 1 | 3 |
| 5 | Italy | 1 | 1 | 1 | 3 |
| 6 | Netherlands | 1 | 1 | 0 | 2 |
| 7 | France | 0 | 1 | 1 | 2 |
| 8 | Hungary | 0 | 1 | 0 | 1 |
| 9 | Bulgaria | 0 | 0 | 1 | 1 |
| 9 | Spain | 0 | 0 | 1 | 1 |
| 9 | Tunisia | 0 | 0 | 1 | 1 |
| Totals (11 entries) | Totals (11 entries) | 12 | 12 | 12 | 36 |

### 25 km (1991–2022)

| Year | Gold | Silver | Bronze |
| - | - | - | - |
| 1991 Perth | Chad Hundeby United States | Sergio Chariandini Italy | David O'Brien Australia |
| 1994 Rome | Greg Streppel Canada | David Bates Australia | Aleksey Akatyev Russia |
| 1998 Perth | Aleksey Akatyev Russia | David Meca Spain | Gabriel Chaillou Argentina |
| 2001 Fukuoka | Yuri Kudinov Russia | Stéphane Gomez France | Stéphane Lecat France |
| 2003 Barcelona | Yuri Kudinov Russia | David Meca Spain | Petar Stoychev Bulgaria |
| 2005 Montreal | David Meca Spain | Brendan Capell Australia | Petar Stoychev Bulgaria |
| 2007 Melbourne | Yuri Kudinov (3) Russia | Marco Formentini Italy | Mohamed Zanaty Egypt |
| 2009 Rome | Valerio Cleri Italy | Trent Grimsey Australia | Vladimir Dyatchin Russia |
| 2011 Shanghai | Petar Stoychev Bulgaria | Vladimir Dyatchin Russia | Csaba Gercsák Hungary |
| 2013 Barcelona | Thomas Lurz Germany | Brian Ryckeman Belgium | Evgeny Drattsev Russia |
| 2015 Kazan | Simone Ruffini Italy | Alex Meyer United States | Matteo Furlan Italy |
| 2017 Budapest | Axel Reymond France | Matteo Furlan Italy | Evgeny Drattsev Russia |
| 2019 Gwangju | Axel Reymond France | Kirill Belyaev Russia | Alessio Occhipinti Italy |
| 2022 Budapest | Dario Verani Italy | Axel Reymond France | Péter Gálicz Hungary |

* Medals:

| Rank | Nation | Gold | Silver | Bronze | Total |
| - | - | - | - | - | - |
| 1 | Russia | 4 | 2 | 4 | 10 |
| 2 | Italy | 3 | 3 | 2 | 8 |
| 3 | France | 2 | 2 | 1 | 5 |
| 4 | Spain | 1 | 2 | 0 | 3 |
| 5 | United States | 1 | 1 | 0 | 2 |
| 6 | Bulgaria | 1 | 0 | 2 | 3 |
| 7 | Canada | 1 | 0 | 0 | 1 |
| 7 | Germany | 1 | 0 | 0 | 1 |
| 9 | Australia | 0 | 3 | 1 | 4 |
| 10 | Belgium | 0 | 1 | 0 | 1 |
| 11 | Hungary | 0 | 0 | 2 | 2 |
| 12 | Argentina | 0 | 0 | 1 | 1 |
| 12 | Egypt | 0 | 0 | 1 | 1 |
| Totals (13 entries) | Totals (13 entries) | 14 | 14 | 14 | 42 |

## Women

Bold numbers in brackets denotes record number of victories in corresponding disciplines.

### 5 km (1998–present)

| Event | Gold | Silver | Bronze |
| - | - | - | - |
| 1998 Perth | Erica Rose United States | Edith van Dijk Netherlands | Peggy Büchse Germany |
| 2001 Fukuoka | Viola Valli Italy | Peggy Büchse Germany | Hayley Lewis Australia |
| 2003 Barcelona | Viola Valli (2) Italy | Jana Pechanová Czech Republic | Britta Kamrau Germany |
| 2005 Montreal | Larisa Ilchenko Russia | Margy Keefe United States | Edith van Dijk Netherlands |
| 2007 Melbourne | Larisa Ilchenko (2) Russia | Ekaterina Seliverstova Russia | Kate Brookes-Peterson Australia |
| 2009 Rome | Melissa Gorman Australia | Larisa Ilchenko Russia | Poliana Okimoto Brazil |
| 2011 Shanghai | Swann Oberson Switzerland | Aurélie Muller France | Ashley Twichell United States |
| 2013 Barcelona | Haley Anderson United States | Poliana Okimoto Brazil | Ana Marcela Cunha Brazil |
| 2015 Kazan | Haley Anderson (2) United States | Kalliopi Araouzou Greece | Finnia Wunram Germany |
| 2017 Budapest | Ashley Twichell United States | Aurélie Muller France | Ana Marcela Cunha Brazil |
| 2019 Gwangju | Ana Marcela Cunha Brazil | Aurélie Muller France | Leonie Beck Germany Hannah Moore United States |
| 2022 Budapest | Ana Marcela Cunha (2) Brazil | Aurélie Muller France | Giulia Gabbrielleschi Italy |
| 2023 Fukuoka | Leonie Beck Germany | Sharon van Rouwendaal Netherlands | Ana Marcela Cunha Brazil |

* Medals:

| Rank | Nation | Gold | Silver | Bronze | Total |
| - | - | - | - | - | - |
| 1 | United States | 4 | 1 | 2 | 7 |
| 2 | Russia | 2 | 2 | 0 | 4 |
| 3 | Brazil | 2 | 1 | 4 | 7 |
| 4 | Italy | 2 | 0 | 1 | 3 |
| 5 | Germany | 1 | 1 | 4 | 6 |
| 6 | Australia | 1 | 0 | 2 | 3 |
| 7 | Switzerland | 1 | 0 | 0 | 1 |
| 8 | France | 0 | 4 | 0 | 4 |
| 9 | Netherlands | 0 | 2 | 1 | 3 |
| 10 | Czech Republic | 0 | 1 | 0 | 1 |
| 10 | Greece | 0 | 1 | 0 | 1 |
| Totals (11 entries) | Totals (11 entries) | 13 | 13 | 14 | 40 |

### 10 km (2001–present)

| Event | Gold | Silver | Bronze |
| - | - | - | - |
| 2001 Fukuoka | Peggy Büchse Germany | Irina Abyssova Russia | Edith van Dijk Netherlands |
| 2003 Barcelona | Viola Valli Italy | Angela Maurer Germany | Edith van Dijk Netherlands |
| 2005 Montreal | Edith van Dijk Netherlands | Federica Vitale Italy | Britta Kamrau Germany |
| 2007 Melbourne | Larisa Ilchenko Russia | Cassandra Patten Great Britain | Kate Brookes-Peterson Australia |
| 2009 Rome | Keri-Anne Payne Great Britain | Ekatarina Seliverstova Russia | Martina Grimaldi Italy |
| 2011 Shanghai | Keri-Anne Payne (2) Great Britain | Martina Grimaldi Italy | Marianna Lymperta Greece |
| 2013 Barcelona | Poliana Okimoto Brazil | Ana Marcela Cunha Brazil | Angela Maurer Germany |
| 2015 Kazan | Aurélie Muller France | Sharon van Rouwendaal Netherlands | Ana Marcela Cunha Brazil |
| 2017 Budapest | Aurélie Muller (2) France | Samantha Arévalo Ecuador | Arianna Bridi Italy Ana Marcela Cunha Brazil |
| 2019 Gwangju | Xin Xin China | Haley Anderson United States | Rachele Bruni Italy |
| 2022 Budapest | Sharon van Rouwendaal Netherlands | Leonie Beck Germany | Ana Marcela Cunha Brazil |
| 2023 Fukuoka | Leonie Beck Germany | Chelsea Gubecka Australia | Katie Grimes United States |

* Medals:

| Rank | Nation | Gold | Silver | Bronze | Total |
| - | - | - | - | - | - |
| 1 | Germany | 2 | 2 | 2 | 6 |
| 2 | Netherlands | 2 | 1 | 2 | 5 |
| 3 | Great Britain | 2 | 1 | 0 | 3 |
| 4 | France | 2 | 0 | 0 | 2 |
| 5 | Italy | 1 | 2 | 3 | 6 |
| 6 | Russia | 1 | 2 | 0 | 3 |
| 7 | Brazil | 1 | 1 | 3 | 5 |
| 8 | China | 1 | 0 | 0 | 1 |
| 9 | Australia | 0 | 1 | 1 | 2 |
| 9 | United States | 0 | 1 | 1 | 2 |
| 11 | Ecuador | 0 | 1 | 0 | 1 |
| 12 | Greece | 0 | 0 | 1 | 1 |
| Totals (12 entries) | Totals (12 entries) | 12 | 12 | 13 | 37 |

### 25 km (1991–2022)

| Event | Gold | Silver | Bronze |
| - | - | - | - |
| 1991 Perth | Shelley Taylor-Smith Australia | Martha Jahn United States | Karen Burton United States |
| 1994 Rome | Melissa Cunningham Australia | Rita Kovács Hungary | Shelley Taylor-Smith Australia |
| 1998 Perth | Tobie Smith United States | Peggy Büchse Germany | Edith van Dijk Netherlands |
| 2001 Fukuoka | Viola Valli Italy | Edith van Dijk Netherlands | Angela Maurer Germany |
| 2003 Barcelona | Edith van Dijk Netherlands | Britta Kamrau Germany | Angela Maurer Germany |
| 2005 Montreal | Edith van Dijk Netherlands | Britta Kamrau Germany | Laura la Piana Italy |
| 2007 Melbourne | Britta Kamrau Germany | Kalyn Keller United States | Ksenia Popova Russia |
| 2009 Rome | Angela Maurer Germany | Anna Uvarova Russia | Federica Vitale Italy |
| 2011 Shanghai | Ana Marcela Cunha Brazil | Angela Maurer Germany | Alice Franco Italy |
| 2013 Barcelona | Martina Grimaldi Italy | Angela Maurer Germany | Eva Fabian United States |
| 2015 Kazan | Ana Marcela Cunha Brazil | Anna Olasz Hungary | Angela Maurer Germany |
| 2017 Budapest | Ana Marcela Cunha Brazil | Sharon van Rouwendaal Netherlands | Arianna Bridi Italy |
| 2019 Gwangju | Ana Marcela Cunha Brazil | Finnia Wunram Germany | Lara Grangeon France |
| 2022 Budapest | Ana Marcela Cunha (5) Brazil | Lea Boy Germany | Sharon van Rouwendaal Netherlands |

* Medals:

| Rank | Nation | Gold | Silver | Bronze | Total |
| - | - | - | - | - | - |
| 1 | Brazil | 5 | 0 | 0 | 5 |
| 2 | Germany | 2 | 7 | 3 | 12 |
| 3 | Netherlands | 2 | 2 | 2 | 6 |
| 4 | Italy | 2 | 0 | 4 | 6 |
| 5 | Australia | 2 | 0 | 1 | 3 |
| 6 | United States | 1 | 2 | 2 | 5 |
| 7 | Hungary | 0 | 2 | 0 | 2 |
| 8 | Russia | 0 | 1 | 1 | 2 |
| 9 | France | 0 | 0 | 1 | 1 |
| Totals (9 entries) | Totals (9 entries) | 14 | 14 | 14 | 42 |

## Mixed team

Bold numbers in brackets denotes record number of victories in corresponding disciplines.

### 5 km (1998–2019), 6 km (2022–present)

| Event | Gold | Silver | Bronze |
| - | - | - | - |
| 1998 Perth | United States John Flanagan Austin Ramirez Erica Rose | Russia Aleksey Akatyev Yevgeny Bezruchenko Olga Gouseva | Italy Luca Baldini Fabio Venturini Valeria Casprini |
| 2011 Shanghai | United States Andrew Gemmell Ashley Twichell Sean Ryan | Australia Melissa Gorman Ky Hurst Rhys Mainstone | Germany Isabelle Härle Thomas Lurz Jan Wolfgarten |
| 2013 Barcelona | Germany Thomas Lurz Christian Reichert Isabelle Härle | Greece Adonios Fokaidis Spyridon Gianniotis Kalliopi Araouzou | Brazil Allan do Carmo Samuel de Bona Poliana Okimoto |
| 2015 Kazan | Germany Rob Muffels Christian Reichert (2) Isabelle Härle (2) | Brazil Allan do Carmo Diogo Villarinho Ana Marcela Cunha Netherlands Marcel Schouten Ferry Weertman Sharon van Rouwendaal | Not awarded |
| 2017 Budapest | France Oceane Cassignol Logan Fontaine Aurélie Muller Marc-Antoine Olivier | United States Brendan Casey Ashley Twichell Haley Anderson Jordan Wilimovsky | Italy Rachele Bruni Giulia Gabbrielleschi Federico Vanelli Mario Sanzullo |
| 2019 Gwangju | Germany Lea Boy Sarah Köhler Sören Meißner Rob Muffels (2) | Italy Rachele Bruni Giulia Gabbrielleschi Domenico Acerenza Gregorio Paltrinieri | United States Haley Anderson Jordan Wilimovsky Ashley Twichell Michael Brinegar |
| 2022 Budapest | Germany Lea Boy (2) Oliver Klemet Leonie Beck Florian Wellbrock | Hungary Réka Rohács Anna Olasz Dávid Betlehem Kristóf Rasovszky | Italy Ginevra Taddeucci Giulia Gabbrielleschi Domenico Acerenza Gregorio Paltrinieri |
| 2023 Fukuoka | Italy Barbara Pozzobon Ginevra Taddeucci Domenico Acerenza Gregorio Paltrinieri | Hungary Bettina Fábián Anna Olasz Kristóf Rasovszky Dávid Betlehem | Australia Chelsea Gubecka Moesha Johnson Nicholas Sloman Kyle Lee |

* Medals:

| Rank | Nation | Gold | Silver | Bronze | Total |
| - | - | - | - | - | - |
| 1 | Germany | 4 | 0 | 1 | 5 |
| 2 | United States | 2 | 1 | 1 | 4 |
| 3 | Italy | 1 | 1 | 3 | 5 |
| 4 | France | 1 | 0 | 0 | 1 |
| 5 | Hungary | 0 | 2 | 0 | 2 |
| 6 | Australia | 0 | 1 | 1 | 2 |
| 6 | Brazil | 0 | 1 | 1 | 2 |
| 8 | Greece | 0 | 1 | 0 | 1 |
| 8 | Netherlands | 0 | 1 | 0 | 1 |
| 8 | Russia | 0 | 1 | 0 | 1 |
| Totals (10 entries) | Totals (10 entries) | 8 | 9 | 7 | 24 |

### 25 km (1998)

| Event | Gold | Silver | Bronze |
| - | - | - | - |
| 1998 Perth | Italy Claudio Gargaro Fabrizio Pescatori Valeria Casprini | Australia Grant Robinson Mark Saliba Tracey Knowles | United States Tobie Smith Nathan Stooke Chuck Wiley |

* Medals:

| Rank | Nation | Gold | Silver | Bronze | Total |
| - | - | - | - | - | - |
| 1 | Italy | 1 | 0 | 0 | 1 |
| 2 | Australia | 0 | 1 | 0 | 1 |
| 3 | United States | 0 | 0 | 1 | 1 |
| Totals (3 entries) | Totals (3 entries) | 1 | 1 | 1 | 3 |

## All-time medal table 1991–2023

After the 2023 World Aquatics Championships.

| Rank | Nation | Gold | Silver | Bronze | Total |
| - | - | - | - | - | - |
| 1 | Germany | 19 | 17 | 14 | 50 |
| 2 | Russia | 12 | 11 | 9 | 32 |
| 3 | Italy | 12 | 10 | 19 | 41 |
| 4 | United States | 10 | 9 | 8 | 27 |
| 5 | Brazil | 8 | 3 | 8 | 19 |
| 6 | France | 6 | 8 | 3 | 17 |
| 7 | Netherlands | 5 | 7 | 5 | 17 |
| 8 | Australia | 3 | 7 | 6 | 16 |
| 9 | Greece | 2 | 4 | 3 | 9 |
| 10 | Great Britain | 2 | 1 | 1 | 4 |
| 11 | Hungary | 1 | 5 | 2 | 8 |
| 12 | Spain | 1 | 2 | 1 | 4 |
| 13 | Canada | 1 | 1 | 1 | 3 |
| 14 | Bulgaria | 1 | 0 | 3 | 4 |
| 15 | South Africa | 1 | 0 | 1 | 2 |
| 15 | Tunisia | 1 | 0 | 1 | 2 |
| 17 | China | 1 | 0 | 0 | 1 |
| 17 | Switzerland | 1 | 0 | 0 | 1 |
| 19 | Belgium | 0 | 1 | 0 | 1 |
| 19 | Czech Republic | 0 | 1 | 0 | 1 |
| 19 | Ecuador | 0 | 1 | 0 | 1 |
| 22 | Argentina | 0 | 0 | 1 | 1 |
| 22 | Egypt | 0 | 0 | 1 | 1 |
| 22 | Ukraine | 0 | 0 | 1 | 1 |
| Totals (24 entries) | Totals (24 entries) | 87 | 88 | 88 | 263 |

## Multiple medalists

Boldface denotes active swimmers and highest medal count among all swimmers (including these who not included in these tables) per type.

### Men

| Rank | Swimmer | Country | From | To | Gold | Silver | Bronze | Total |
| - | - | - | - | - | - | - | - | - |
| 1 | Thomas Lurz | Germany | 2005 | 2013 | 7 | 4 | 2 | 13 |
| 2 | Florian Wellbrock | Germany | 2019 | 2023 | 5 | – | 1 | 6 |
| 3 | Yuri Kudinov | Russia | 2001 | 2007 | 3 | – | – | 3 |
| 4 | Spyridon Gianniotis | Greece | 2007 | 2015 | 2 | 3 | 2 | 7 |
| 5 | Gregorio Paltrinieri | Italy | 2019 | 2023 | 2 | 3 | 1 | 6 |
| 6 | Vladimir Dyatchin | Russia | 2001 | 2011 | 2 | 2 | 2 | 6 |
| 7 | Aleksey Akatyev | Russia | 1994 | 1998 | 2 | 1 | 1 | 4 |
| 7 | Rob Muffels | Germany | 2015 | 2019 | 2 | 1 | 1 | 4 |
| 7 | Marc-Antoine Olivier | France | 2017 | 2019 | 2 | 1 | 1 | 4 |
| 10 | Axel Reymond | France | 2017 | 2022 | 2 | 1 | – | 3 |

### Men (including medals won in 2000–2010)

This table includes medals won at the separate FINA World Open Water Swimming Championships in 2000–2010.

| Rank | Swimmer | Country | From | To | Gold | Silver | Bronze | Total |
| - | - | - | - | - | - | - | - | - |
| 1 | Thomas Lurz | Germany | 2002 | 2013 | 12 | 4 | 4 | 20 |
| 2 | Yuri Kudinov | Russia | 2000 | 2008 | 5 | 2 | 1 | 8 |
| 3 | Florian Wellbrock | Germany | 2019 | 2023 | 5 | – | 1 | 6 |
| 4 | Vladimir Dyatchin | Russia | 2001 | 2011 | 3 | 3 | 4 | 10 |
| 5 | David Meca | Spain | 1998 | 2005 | 2 | 4 | 1 | 7 |
| 6 | Spyridon Gianniotis | Greece | 2007 | 2015 | 2 | 3 | 2 | 7 |
| 7 | Gregorio Paltrinieri | Italy | 2019 | 2023 | 2 | 3 | 1 | 6 |
| 8 | Yevgeny Bezruchenko | Russia | 1998 | 2001 | 2 | 2 | 1 | 5 |
| 9 | Valerio Cleri | Italy | 2006 | 2010 | 2 | 2 | – | 4 |
| 10 | Aleksey Akatyev | Russia | 1994 | 2000 | 2 | 1 | 2 | 5 |

### Women

| Rank | Swimmer | Country | From | To | Gold | Silver | Bronze | Total |
| - | - | - | - | - | - | - | - | - |
| 1 | Ana Marcela Cunha | Brazil | 2011 | 2023 | 7 | 2 | 6 | 15 |
| 2 | Viola Valli | Italy | 2001 | 2003 | 4 | – | – | 4 |
| 3 | Aurélie Muller | France | 2011 | 2022 | 3 | 4 | – | 7 |
| 4 | Edith van Dijk | Netherlands | 1998 | 2005 | 3 | 2 | 4 | 9 |
| 5 | Leonie Beck | Germany | 2019 | 2023 | 3 | 1 | 1 | 5 |
| 6 | Larisa Ilchenko | Russia | 2005 | 2009 | 3 | 1 | – | 4 |
| 7 | Haley Anderson | United States | 2013 | 2019 | 2 | 2 | 1 | 5 |
| 8 | Ashley Twichell | United States | 2011 | 2019 | 2 | 1 | 2 | 5 |
| 9 | Lea Boy | Germany | 2019 | 2022 | 2 | 1 | – | 3 |
| 10 | Isabelle Härle | Germany | 2011 | 2015 | 2 | – | 1 | 3 |

### Women (including medals won in 2000–2010)

This table includes medals won at the separate FINA World Open Water Swimming Championships in 2000–2010.

| Rank | Swimmer | Country | From | To | Gold | Silver | Bronze | Total |
| - | - | - | - | - | - | - | - | - |
| 1 | Larisa Ilchenko | Russia | 2004 | 2009 | 8 | 1 | – | 9 |
| 2 | Ana Marcela Cunha | Brazil | 2010 | 2023 | 7 | 2 | 7 | 16 |
| 3 | Edith van Dijk | Netherlands | 1998 | 2008 | 6 | 5 | 4 | 15 |
| 4 | Viola Valli | Italy | 2000 | 2003 | 5 | 2 | 1 | 8 |
| 5 | Britta Kamrau-Corestein | Germany | 2002 | 2007 | 4 | 2 | 4 | 10 |
| 6 | Aurélie Muller | France | 2011 | 2022 | 3 | 4 | – | 7 |
| 7 | Leonie Beck | Germany | 2019 | 2023 | 3 | 1 | 1 | 5 |
| 8 | Angela Maurer | Germany | 2000 | 2015 | 2 | 4 | 6 | 12 |
| 9 | Peggy Büchse | Germany | 1998 | 2001 | 2 | 2 | 2 | 6 |
| 10 | Haley Anderson | United States | 2013 | 2019 | 2 | 2 | 1 | 5 |
