| Lane | Athlete | Team | Seed | Note |
|---|---|---|---|---|
| 1 | DOUGLAS, Chad | Union High School | 4:44.77 | Verified |
| 2 | SPAIN, Landon | Union High School | 4:49.54 | Verified |
| 3 | ALMER, Dorian | Union High School | 4:52.02 | Verified |
| 4 | PENIX, Eli | Lee | 4:53.02 | Verified |
| 5 | BRUZZO-MORELLO, Domenico | Marion | 4:55.21 | Verified |
| 6 | YOUNG, Drake | Tazewell | 5:05.07 | Verified |
| 7 | CARTER, John | Lee | 5:05.85 | Verified |
| 8 | ARMBRISTER, Alex | Marion | 5:13.78 | Verified |
| 9 | POE, Zackary | John S. Battle | 5:22.49 | Verified |
| 10 | GREEAR, Jesse | Wise Central High School | 5:23.05 | Verified |
| 11 | DOWELL, Calvin | Tazewell | 5:29.03 | Verified |
| 12 | FRICKER, Elijah | Virginia High School | 5:43.37 | Verified |
| 13 | MCLAIN, Carter | Gate City High School | 5:50.86 | Unverified: 2023 Mountain 7 District Champio |