Over the years, the marathon has grown significantly in scale, evolving into a large-scale international competition that draws thousands of participants from various countries.

[3] Race plays a significant role in promoting physical activity and healthy lifestyles within Medellín and the broader region, while also highlighting the city's progress and transformation over recent decades.

[5] The marathon course offers runners a tour through Medellín's urban landscape, showcasing a blend of the city's modern infrastructure, green spaces, and neighborhoods.

[3] In the half-marathon, Joseph Kiprono Kiptum emerged as the men's champion at 1:05:06, while Jhoselyn Yessica Camargo Aliaga claimed the women's title, finishing in 1:14:14.

[13] In the men's 42K race, Peruvian runner Walter Nina claimed first place, while Kenya's Naomi Jepkogei won the women's division.

This recognition has helped attract elite runners from around the world, particularly from neighboring countries in South America and Africa, where distance running has a strong tradition.

[15] The event has gained considerable media attention for showcasing Medellín's growth and cultural vibrancy, which aligns with the city's efforts to promote tourism and its image as a safe and attractive destination.

[7] During the COVID-19 pandemic, Maratón Medellín adapted by organizing virtual races to allow participants to complete the event individually while following safety protocols.

On September 16, 2018, Kenyan long-distance runner Joseph Kiprono Kiptum was struck by a car while leading the Medellín Half Marathon in Colombia.

[20] The Maratón Medellín comprises several race categories, catering to diverse age groups and abilities:[21] Winners and times recorded in 42 km in the different editions of the event.