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Date: 20 August 2004
Final
| Rank | Name | Nation | Time |
| 1 | Kenenisa Bekele | ETH | 27:05.10 |
| 2 | Sileshi Sihine | ETH | 27:09.39 |
| 3 | Zersenay Tadesse | ERI | 27:22.57 |
| 4 | Boniface Kiprop | UGA | 27:25.48 |
| 5 | Haile Gebrselassie | ETH | 27:27.70 |
| 6 | John Cheruiyot Korir | KEN | 27:41.91 |
| 7 | Moses Mosop | KEN | 27:46.61 |
| 8 | Ismail Sghyr | FRA | 27:57.09 |
| 9 | Jose Manuel Martinez | ESP | 27:57.61 |
| 10 | Fabiano Joseph | TAN | 28:01.94 |
| 11 | Wilson Busienei | UGA | 28:10.75 |
| 12 | Daniel Browne | USA | 28:14.53 |
| 13 | Charles Kamathi | KEN | 28:17.08 |
| 14 | Kamiel Maase | NED | 28:23.39 |
| 15 | Abdi Abdirahman | USA | 28:26.26 |
| 16 | Yonas Kifle | ERI | 28:29.87 |
| 17 | Dieudonne Disi | RWA | 28:43.19 |
| 18 | Mohammed Amyne | MAR | 28:55.96 |
| 19 | Ryuji Ono | JPN | 29:06.50 |
| 20 | Teodoro Vega | MEX | 29:06.55 |
| 21 | David Galvan | MEX | 29:38.05 |
| Did not finish | |||
| John Henwood | NZL | ||
| Dathan Ritzenhein | USA | ||
| John Yuda | TAN | ||