| Year | Medal | Country | Team | Time |
| Barcelona 1992 | Gold | Germany | Bernd Dittert/Christian Meyer/Uwe Peschel/Michael Rich | 2:01:39 |
| Silver | Italy | Flavio Anastasia/Luca Colombo/Gianfranco Contri/Andrea Peron | 2:02:39 | |
| Bronze | France | Herve Boussard/Didier Faivre-Pierret/Philippe Gaumont/Jean-Louis Harel | 2:05:25 | |
| Seoul 1988 | Gold | East Germany | Uwe Ampler/Mario Kummer/Maik Landsmann/Jan Schur | 1:57:44.7 |
| Silver | Poland | Joachim Halupczok/Zenon Jaskula/Marek Lesniewski/Andrzej Sypytkowski | 1:57:47.3 | |
| Bronze | Sweden | Bjorn Johansson/Jan Karlsson/Michel Lafis/Anders Jarl | 1:59:47.3 | |
| Los Angeles 1984 | Gold | Italy | Marcello Bartalini/Marco Giovannetti/Eros Polis/Claudio Vandelli | 1:58:28 |
| Silver | Switzerland | Alfred Acherman/Richard Trinkler/Lauret P. Vial/Benno Wiss | 2:02:38 | |
| Bronze | United States | Ronald Kiefel/Roy Knickman/Davis Phinney/Andrew Weaver | 2:02:46 | |
| Moscow 1980 | Gold | Soviet Union | Yuri Kashirin/Oleg Logvin/Sergei Shelpakov/Anatoli Yarkin | 2:02:21.7 |
| Silver | East Germany | Falk Boden/Bernd Drogan/Olaf Ludwig/Hans-Joachim Hartnick | 2:02:53.2 | |
| Bronze | Czechoslovakia | Michal Klasa/Vlastibor Konecny/Alipi Kostadinov/Jiri Skoda | 2:02:53.9 | |
| Montreal 1976 | Gold | Soviet Union | Anatoli Chukanov/Valeri Chaplygin/Vladimir Kaminsky/Aavo Pikkuus | 2:08:53.0 |
| Silver | Poland | Tadeusz Mytnik/Myeczyslaw Nowicki/Stanislaw Szozda/Ryszard Szurkowski | 2:09:13.0 | |
| Bronze | Denmark | Berner Blaudzin/Gert Frank/Jorgen Emil Hansen/Jorn Lund/Niels Fredborg | 2:12:20.0 | |
| Munich 1972 | Gold | Soviet Union | Boris Chuchov/Valeri Iardi/Gennady Komnatov/Valeri Likhachov | 2:11:17.8 |
| Silver | Poland | Lucjan Lis/Edward Barcik/Stanislaw Szozda/Ryszard Szurkowski | 2:11:47.5 | |
| Bronze | Netherlands | Diqualified due to drug use | none | |
| Mexico City 1968 | Gold | Netherlands | Fedor den Hertog/Jan Krekels/Marinus Pijnen/Henk Zoetemelk | 2:07:49.06 |
| Silver | Sweden | Erik Pettersson/Gosta Pettersson/Sture Pettersson/Tomas Pettersson | 2:09:26.60 | |
| Bronze | Italy | Giovanni Bramucci/Vittorio Marcelli/Mauro Simonetti/Pierfranco Vianelli | 2:10:18.74 | |
| Tokyo 1964 | Gold | Netherlands | Evert G. Dolman/Gerben Karstens/Johannes Pieterse/Hubertus Zoet | 2:26:31.19 |
| Silver | Italy | Sverino Andreoli/Luciano Dalla Bona/Pietro Guerra/Ferrucio Manza | 2:26:55.39 | |
| Bronze | Sweden | Sven Hamrin/Erik Pettersson/Gosta Pettersson/Sture Pettersson | 2:27:11.52 | |
| Rome 1960 | Gold | Italy | Antonio Bailetti/Ottavio Cogliati/Giacomo Fornoni/Livio Trape | 2:14:33.53 |
| Silver | East Germany | Gustav-Adolf Schur/Egon Adler/Erich Hagen/Gunter Lorke | 2:16:56.31 | |
| Bronze | Soviet Union | Viktor Kapitonov/Yevgeni Klevzov/Yuri Melichov/Aleksei Petrov | 2:18:41.67 | |