| Final | time | ____________ | | 1. United States |  USA | 3:29.4 | | | William Hamilton 22.0s, Nate Cartmell 49.8s, John Taylor 1:55.4, Mel Sheppard | | 2. Germany |  GeR | 3:32.4 | | | Arthur Hoffmann, Hans Eicke, Otto Trieloff, Hanns Braun | | 3. Hungary |  HUN | 3:32.5 | | | Pál Simon, Frigyes Wiesner, József Nagy, Ödön Bodor |
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Heats - Friday, 24th July | | Winner of each Heat advanced to Final. |
| Heat 1 | time | ____________ | | 1. Hungary | HUN | 3:32.6 | Q | | Pál Simon, Frigyes Wiesner, József Nagy, Ödön Bodor | | 2. Sweden |  SWE | (3:33.0) | | | Sven Låftman, Knut Lindberg, Knut Stenborg, Evert Björn |
| Heat 2 | time | ____________ | | 1. Germany | GeR | 3:43.2 | Q | | Arthur Hoffmann, Hans Eicke, Otto Trieloff, Hanns Braun | | 2. Netherlands |  NED | (3:55.4) | | | Evert Koops, Jacobus Hoogveld, Victor Henny, Bram Evers |
| Heat 3 | time | ____________ | | 1. United States | USA | 3:27.2 | Q | | William Hamilton, Nate Cartmell, John Taylor, Mel Sheppard | | 2. Great Britain |  GBR | 3:32.0 | | | George Hawkins, Henry Pankhurst, Edwin Montague, Theodore Just | | 3. Canada |  Can | Uunknown | | | Frank Lukeman, Donald Buddo, Louis Sebert, R. Irving Parkes |
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| | | Venue: White City Stadium - track of 536.45 metres=1⁄3 mile. | | 28 competitors from 7 nations. | | This event was held for the only time. |
The event consisted of 1600m being run by four athletes per team. Unlike the later 4 × 400m relay, however, the athletes had different distances to run. In the medley, the first two runners each ran 200 metres. The third runner ran 400 and the fourth ran 800.
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