2019 Tokyo Marathon

An IAAF Gold Label Road Race, it was the first World Marathon Majors event to be held that year.

[1] In terms of competitive standard, a total of 906 men and 555 women entered with a semi-elite personal best.

[4] In terms of the 12th World Marathon Majors rankings, the result brought Birhanu Legese to joint first in the men's side with 25 points while Ruti Aga's win brought her into first place outright with 41 points (building upon her runner-up finish at the 2018 Berlin Marathon).

[6] This resulted in several high profile mid-race dropouts, including Japan's national record holder Suguru Osako and elite Africans El Hassan El-Abbassi and Gideon Kipketer.

Kensuke Horio was the top male national finisher and, along with Masato Imai and Takuya Fujikawa, gained a place for the Marathon Grand Championship race scheduled for September.