The women's race was won in 2:22:38 by Kenyan Joyciline Jepkosgei, making her official debut at the distance.

The men and women's wheelchair races, were won by American Daniel Romanchuk (1:37:24) and Switzerland's Manuela Schär (1:44:20), respectively.

[2] In the women's race, 2018 winner Mary Keitany and half-marathon world record holder Joyceline Jepkosgei were favorites.

[5] The men's field included three sub-2:06 runners; Tamirat Tola, Lelisa Desisa, and Shura Kitata, all of whom are from Ethiopia.

[6] In the women's wheelchair race, the favorite was Manuela Schär who had won the last six World Marathon Majors in a row.

[7] The winners of the men and women's races each won $100,000, and $25,000 each in the wheelchair category whilst a prize of $25,000 was given to the fastest man and woman from the United States.

[9] In the women's wheelchair race, Schär took an early lead and won with little competition from the other athletes in a time of 1:44:20.

[11] They went through 15 kilometres (9.3 mi) in 31:11 side-by-side and at halfway were both over a minute ahead of the chasing group comprising Weir and Aaron Pike.

[11] Once again, Romanchuk was able to get clear of the rest, and crossed the finish line in first place just one second ahead of Hug, as was the case the previous year.

ABC News suggested that the cause was his "taxing" victory in the marathon event at the 2019 World Athletics Championships in Doha, Qatar just 29 days earlier.

The group had dwindled to just five runners when they reached mile 20 in 1:38:59; Kamworor, Girma Bekele Gebre, Albert Korir, Kitata, and Tola.

[18] Girma Bekele Gebre, an unsponsored Ethiopian who started with the open field instead of the elite runners, finished in third place in 2:08:38.