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 |
|---|---|---|---|---|---|---|---|---|
| 11 | Mark Feldmann | 151 | 42 | M | Roanoke VA | 49:49.49 | 7:51/M | 1 M 40-44 |
| 12 | Jay O'Keeffe | 215 | 40 | M | Roanoke VA | 49:50.44 | 7:51/M | 2 M 40-44 |
| 24 | Eric Sollinger | 192 | 44 | M | Roanoke VA | 54:55.99 | 8:39/M | 3 M 40-44 |
| 29 | Nathan Hale | 217 | 41 | M | 55:54.75 | 8:48/M | 4 M 40-44 | |
| 31 | Mike Pflieger | 186 | 44 | M | Lynchburg VA | 56:01.28 | 8:49/M | 5 M 40-44 |
| 50 | Todd King | 172 | 44 | M | Wirtz VA | 1:01:12.02 | 9:38/M | 6 M 40-44 |
| 51 | Steve Agee | 209 | 41 | M | Callaway VA | 1:01:13.00 | 9:38/M | 7 M 40-44 |
| 56 | Jack Bugo | 138 | 44 | M | Roanoke VA | 1:02:32.41 | 9:51/M | 8 M 40-44 |
| 63 | Greg James | 165 | 43 | M | Boones Mill VA | 1:04:38.20 | 10:11/M | 9 M 40-44 |
| 77 | Matt Pisenti | 187 | 44 | M | Roanoke VA | 1:06:19.16 | 10:27/M | 10 M 40-44 |
| 88 | Brian Hurd | 163 | 44 | M | MARTINSVILLE VA | 1:08:03.95 | 10:43/M | 11 M 40-44 |