

Sunday, April 15, 2001
Start Time: 9:05
Starting Point: Olympic Memorial Torch Platform (Yamanouchi Town)
Finishing Point: Nagano Olympic Stadium (Nagano City)
Applicants: 5,166
Participants: 4,523
Finishers: 3,751
Weather: 9:05/16.0℃ (Sunny) 12:00/18.0℃ (Sunny)
| Rank | Name | Country | Record | |
| Men's | 1 | Maxwell MUSENBI | KENYA | 2:12:20 |
| 2 | Toshinari SUWA | JAPAN | 2:16:18 | |
| 3 | Masamoto KOBAYASHI | JAPAN | 2:16:51 | |
| 4 | Yukiyasu OGURA | JAPAN | 2:17:03 | |
| 5 | Hideki OGURA | JAPAN | 2:17:03 | |
| 6 | Abraham ASSEFA | ETHIOPIA | 2:17:03 | |
| 7 | Hideaki NUMAJIRI | JAPAN | 2:17:04 | |
| 8 | Kenji NAGAI | JAPAN | 2:17:17 |
| Women's | 1 | Akiyo ONISHI | JAPAN | 2:31:20 |
| 2 | Chihiro TANAKA | JAPAN | 2:32:05 | |
| 3 | Natalia GALSHUKO | BELARUS | 2:32:51 | |
| 4 | Hideko YOSHIMURA | JAPAN | 2:37:49 | |
| 5 | Mayumi ANAN | JAPAN | 2:45:18 | |
| 6 | Tomoko SUGANO | JAPAN | 2:45:33 | |
| 7 | Georgia AMPATZIDOU | GREECE | 2:46:52 | |
| 8 | Satomi OGINO | JAPAN | 2:48:37 |