Ticktum held off his teammate Joel Eriksson after the restart to become the third driver in history to win the Macau Grand Prix back-to-back after Edoardo Mortara in 2009 and 2010 and Felix Rosenqvist in 2014 and 2015.

[1][2] The 2018 Macau Grand Prix was the 65th running of the event, the 36th time it was held to Formula Three regulations and the third edition of the FIA F3 World Cup.

It took place on the temporary 6.2 km (3.9 mi) 22-turn Guia Circuit in the streets of Macau on 18 November 2018 with three preceding days of practice and qualifying.

Jüri Vips, Dan Ticktum, Eriksson, Sacha Fenestraz, Robert Shwartzman, Álex Palou, Tsuboi and Hughes were in positions three to ten.

[12] While the session passed relatively peacefully,[11] traffic delayed some drivers, and Vips damaged the left-rear rim and tyre in an impact with the barrier at Police corner, sustaining a puncture that was replaced in the pit lane.

[5] The first qualifying session was red flagged after 14 minutes because local driver Hon Chio Leong crashed into a barrier exiting Police turn and blocked the track with his car sideways.

With five minutes to go, a second stoppage was necessitated when Enaam Ahmed made contact with the Police corner barrier in a near identical crash to Leong.

[14][16] As competitors attempted to improve their lap times, they were denied the opportunity as Sena Sakaguchi drifted wide and crashed heavily at the Reservoir Bend turn, destroying his car's left-hand quarter as he ended up against the start/finish straight wall.

[14] The rest of the provisional grid was Ahmed, Marcus Armstrong, Guanyu Zhou, Flörsch, Jehan Daruvala, Ritomo Miyata, Ralf Aron, Shwartzman, Marino Sato, Kevyan Andres, Vesti, Toshiki Oyu, Sakaguchi, Leong, Ukyo Sasahara, Yoshiaki Katayama and Ryuji "Dragon" Kumita.

[20] Oyu also caused yellow flags to wave after he ran deep onto Lisboa corner's escape road and Ahmed (twice) and Fenestraz did the same; all three participants avoided contact with a barrier beside the track.

In the second qualifying session, Schumacher locked his tyres and ran onto Lisboa turn's escape road in the tenth minute, brushing a trackside barrier with his left-rear wheel.

Behind them the rest of the grid lined up as Sekiguchi, Shwartzman, Palou, Vips, Habsburg, Tsuboi, Ahmed, Vesti, Daruvala, Flörsch, Miyata, Leong, Sakaguchi, Andres, Oyu, Katayama and Kumita.

Ilott maintained it through Lisboa turn despite an oversteer that had him narrowly avoid glancing a trackside wall with his left-rear tyre against as he used Ticktum as a braking point reference.

[32][34] On lap three, in the track's mountain section at Dona Maria Bend, a stray dog got onto the circuit, and Ticktum swerved off the racing line to avoid hitting it.

At the lap five restart, Ticktum made a fast getaway to maintain the lead heading into the Mandarin Oriental Bend corner, as his teammate Eriksson overtook Fenestraz on the inside at the same turn.

[37] On the sixth lap, Eriksson went to the inside of Ilott and passed him on the approach to Lisboa turn to move into second despite minor contact against a trackside wall.

Ticktum increased his lead to 2.247 seconds by the start of the final lap and he subsequently slowed slightly to win the qualification race and begin the main event from pole position.

The final classified finishers were Palou, Habsburg, Sekiguchi, Ahmed, Tsuboi, Daruvala, Leong, Flörsch, Andres, Oyu, Sasahara, Kumita and Zhou.

[28] Eriksson was close behind Fenestraz; he decided against an overtake into Lisboa corner because he saw erroneously illuminated LED yellow flag lights on both sides of the track.

[43] Flörsch, who removed her hands from her steering wheel,[45] catapulted backwards to the top of a catch fence and went through it after it absorbed a large amount of impact force.

With the speed of her car greatly reduced from the collision, it struck a photographer's bunker backwards with its roll hoop and cockpit, before it was flipped upwards.

[28] Eriksson could not respond to his teammate Ticktum's advantage and the latter crossed the start/finish line to win his second Macau Grand Prix in a row.

[28] The final finishers were Armstrong, Shwartzman, Habsburg, Zhou, Daruvala, Miyata, Sekiguchi, Vesti, Oyu, Katayama, Sakaguchi, Vips and Kumita.

"[51] Eriksson said that he fell back behind his teammate Ticktum before the safety car was withdrawn and spoke of a "tough race", "The overtake on Sacha was quite tight.

"[53] Third-placed Fenestraz stated it was the best finish he could attain due to Eriksson and Ticktum's fast pace, "Obviously I wanted the win, but for my second time here it's pretty good.

Flörsch vomited from taking painkillers and rendered unmovable for five days as she lost 5 kg (11 lb) of muscle mass and had a large amount of hip ache.

[56] Flörsch began rehabilitation in early December 2018 to ensure she lost no more muscle strength and to strengthen her body with weights on a gradual scale.

[56] The governing body seized video footage from Flörsch's on-board television camera and those of the drivers she was close by when the accident happened.

[60] According to Jonathan Noble of motorsport.com and racing driver Ryan Lewis, the installation of raised kerbs prevented Flörsch's car striking the cockpit sidepod of Tsuboi's vehicle in a similar style to Takuma Sato and Nick Heidfeld's crash at the 2002 Austrian Grand Prix.

[43][44] In May 2021, the front wing from Flörsch's car was returned to VAR after the team noticed it going up for sale on an online auction and filed a complaint with the Macau police who recovered it.