October 21st, 2023
| Place | Name | Bib # | Age | Gender | Hometown | Time | Pace | Age Group Result |
|---|---|---|---|---|---|---|---|---|
| 89 | Ellie Hammer | 748 | 40 | F | Roanoke VA | 32:17.1 | 10:25/M | 1:F 40-44 |
| 136 | Jackie Saunders | 816 | 42 | F | Fincastle VA | 35:21.8 | 11:24/M | 2:F 40-44 |
| 144 | Kelley Devillo | 373 | 44 | F | Fincastle VA | 35:31.6 | 11:28/M | 3:F 40-44 |
| 182 | Meagan Stump | 831 | 43 | F | Fincastle VA | 37:50.5 | 12:12/M | 4:F 40-44 |
| 188 | Cara Cockfield | 716 | 41 | F | Roanoke VA | 37:59.4 | 12:15/M | 5:F 40-44 |
| 190 | Marie Wimmer | 533 | 41 | F | 38:25.1 | 12:24/M | 6:F 40-44 | |
| 223 | Teresa McMillion | 793 | 43 | F | Troutville VA | 39:39.7 | 12:48/M | 7:F 40-44 |
| 226 | Leslie Rigsby | 812 | 44 | F | Buchanan VA | 39:54.8 | 12:53/M | 8:F 40-44 |
| 271 | Christina Poff | 809 | 43 | F | Blue Ridge VA | 42:05.8 | 13:35/M | 9:F 40-44 |
| 272 | Ashley Wiley | 529 | 42 | F | Troutville VA | 42:06.0 | 13:35/M | 10:F 40-44 |
| 286 | Rebekah Johnson | 768 | 44 | F | Eagle Rock VA | 42:31.4 | 13:43/M | 11:F 40-44 |
| 292 | Kim Monaghan | 799 | 42 | F | Fincastle VA | 42:54.9 | 13:51/M | 12:F 40-44 |
| 322 | Cory Hedrick | 370 | 42 | F | Roanoke | 45:06.8 | 14:33/M | 13:F 40-44 |
| 332 | Carmen Hambrick | 747 | 44 | F | Roanoke VA | 45:50.7 | 14:47/M | 14:F 40-44 |
| 336 | Crystal Duty | 732 | 43 | F | Fincastle VA | 45:55.1 | 14:49/M | 15:F 40-44 |
| 351 | Rachel Willmott | 531 | 42 | F | Roanoke VA | 47:42.8 | 15:23/M | 16:F 40-44 |
| 357 | Kelly Rutledge | 387 | 40 | F | Fincastle VA | 48:04.6 | 15:31/M | 17:F 40-44 |
| 370 | Leslie McVey | 795 | 42 | F | 48:44.9 | 15:44/M | 18:F 40-44 | |
| 382 | Jamie Dubbe | 729 | 43 | F | Troutville VA | 50:23.1 | 16:15/M | 19:F 40-44 |
| 399 | Michele Wagner | 845 | 40 | F | Roanoke VA | 51:44.3 | 16:41/M | 20:F 40-44 |
| 439 | Brianna Vaught | 843 | 40 | F | Troutville VA | 57:26.0 | 18:32/M | 21:F 40-44 |
| 451 | Renee Sorrell | 825 | 44 | F | Roanoke VA | 58:57.1 | 19:01/M | 22:F 40-44 |