For the individual segment times and rankings check here http://www.mountainjunkies.net/Mill_Mountain_files/2018_Mill_Mountain_Overall.htm
| Place | Name | Bib # | Age | Gender | Hometown | Time | Pace | Age Group Result |
|---|---|---|---|---|---|---|---|---|
| 15 | Shannon Atkins | 130 | 46 | M | Willis VA | 51:02.42 | 8:02/M | 1 M 45-49 |
| 25 | Tim Miller | 179 | 49 | M | Buchanan VA | 54:58.87 | 8:39/M | 2 M 45-49 |
| 40 | Rick Blankenship | 134 | 49 | M | Forest VA | 58:54.03 | 9:17/M | 3 M 45-49 |
| 52 | John Grider | 157 | 47 | M | Rocky Mount VA | 1:01:13.19 | 9:38/M | 4 M 45-49 |
| 54 | David Bilos | 132 | 47 | M | Fort Wayne IN | 1:01:38.61 | 9:42/M | 5 M 45-49 |
| 57 | Kristen Jagger | 218 | 48 | F | Roanoke VA | 1:03:09.71 | 9:57/M | 1 F 45-49 |
| 60 | Jay Engstrom | 147 | 48 | M | 1:03:58.66 | 10:04/M | 6 M 45-49 | |
| 62 | Lisa Moyer | 102 | 45 | F | Fincastle VA | 1:04:23.33 | 10:08/M | 2 F 45-49 |
| 81 | Sherry Fuller | 80 | 47 | F | Roanoke VA | 1:06:55.72 | 10:32/M | 3 F 45-49 |
| 82 | Denise Spicer | 115 | 46 | F | ROANOKE VA | 1:07:16.10 | 10:36/M | 4 F 45-49 |
| 84 | John Jackson | 164 | 45 | M | Roanoke VA | 1:07:27.64 | 10:37/M | 7 M 45-49 |
| 87 | Karen Dillon | 76 | 46 | F | Wirtz VA | 1:08:03.00 | 10:43/M | 5 F 45-49 |
| 97 | Holly Stevens | 117 | 47 | F | Axton VA | 1:10:05.64 | 11:02/M | 6 F 45-49 |
| 102 | Morgan Wilson | 204 | 47 | M | Buchanan VA | 1:12:19.76 | 11:23/M | 8 M 45-49 |
| 104 | Sarah Vecere | 121 | 46 | F | Roanoke VA | 1:13:06.24 | 11:31/M | 7 F 45-49 |
| 105 | James Secrist | 190 | 49 | M | Roanoke VA | 1:13:06.75 | 11:31/M | 9 M 45-49 |
| 111 | David Fleming | 152 | 49 | M | Green Bank WV | 1:14:14.15 | 11:41/M | 10 M 45-49 |
| 118 | Walter Dalton | 141 | 47 | M | Rocky Mount VA | 1:18:09.03 | 12:18/M | 11 M 45-49 |
| 124 | Meikka Bilos | 43 | 45 | F | Fort Wayne IN | 1:21:01.49 | 12:46/M | 8 F 45-49 |
| 134 | Richard Douglas | 145 | 48 | M | 1:36:00.16 | 15:07/M | 12 M 45-49 | |
| 138 | Michelle Bowles | 71 | 46 | F | Salem VA | 1:44:54.06 | 16:31/M | 9 F 45-49 |