| Final | Stadio P. Nebiolo - 01 August 2019 - Start Time: 10:00 |
| Pos. | Bib | Athlete | Year | Cat. | | Mark | Points |
| 1 | 141 | COMBE Michael | 1978 | M40 | GBR GREAT BRITAIN & N.I. | 35:28 | |
| 2 | 518 | FARINA Alessio | 1976 | M40 | ITA ITALY | 37:00 | |
| 3 | 456 | CIMINO Massimo | 1974 | M40 | ITA ITALY | 37:34 | |
| 4 | 765 | SALTALAMACCHIA Diego | 1975 | M40 | ITA ITALY | 37:41 | |
| 5 | 528 | FILANTE Maurizio | 1976 | M40 | ITA ITALY | 39:14 | |
| 6 | 845 | ZANETTI Adriano | 1974 | M40 | ITA ITALY | 39:20 | |
| 7 | 353 | BARACCO Fausto | 1976 | M40 | ITA ITALY | 39:21 | |
| 8 | 411 | BUSSI Chiaffredo E. | 1976 | M40 | ITA ITALY | 39:41 | |
| 9 | 698 | PESCE Paolo | 1975 | M40 | ITA ITALY | 40:59 | |
| 10 | 429 | CARLUCCI Paolo | 1978 | M40 | ITA ITALY | 41:48 | |
| 11 | 839 | ZAIA Marco | 1974 | M40 | ITA ITALY | 42:05 | |
| 12 | 633 | MILANO Andrea Paolo | 1977 | M40 | ITA ITALY | 42:09 | |
| 13 | 148 | FORESHEW Joseph | 1977 | M40 | GBR GREAT BRITAIN & N.I. | 42:25 | |
| 14 | 397 | BOROGNO Maurizio | 1979 | M40 | ITA ITALY | 43:27 | |
| 15 | 449 | CHEZZI Enrico | 1976 | M40 | ITA ITALY | 43:35 | |
| 16 | 572 | IOZZO Fabio | 1975 | M40 | ITA ITALY | 45:27 | |
| 17 | 352 | BALDISSARA Enrico | 1974 | M40 | ITA ITALY | 45:50 | |
| 18 | 487 | DE STEFANO Francesco | 1976 | M40 | ITA ITALY | 48:41 | |
| 19 | 326 | AIRAUDI Livio | 1976 | M40 | ITA ITALY | 49:04 | |
| 20 | 825 | VETTORATO Andrea | 1976 | M40 | ITA ITALY | 49:45 | |
| 21 | 785 | SICARI Andrea | 1976 | M40 | ITA ITALY | 49:45 | |
| 22 | 791 | SORIANO Gaetano | 1978 | M40 | ITA ITALY | 50:18 | |
| 23 | 516 | FANELLI Domenico | 1978 | M40 | ITA ITALY | 50:44 | |
| 24 | 654 | MORRA Pasquale | 1978 | M40 | ITA ITALY | 51:21 | |
| 25 | 836 | VOLPE Fabio Alberto | 1977 | M40 | ITA ITALY | 52:45 | |
| 26 | 706 | PISONI Andrea | 1976 | M40 | ITA ITALY | 54:37 | |
| 27 | 854 | SAKUMA Shnsuke | 1976 | M40 | JPN JAPAN | 56:33 | |
| 28 | 817 | VARRIALE Francesco | 1975 | M40 | ITA ITALY | 57:53 | |
| | 283 | NARENDER Bandi | 1975 | M40 | IND INDIA | DNS | |
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