| Year | Medal | Country | Team | Time |
| Paris 2024 | Gold | Australia | Kelland O'Brien/Sam Welsford/Oliver Bleddyn/Conor Leahy | 3:42,067 |
| Silver | Great Britain | Ethan Hayter/Ethan Vernon/Charlie Tanfield/Daniel Bigham(Oliver Wood) | 3:44,394 | |
| Bronze | Italy | Simone Consonni/Filippo Ganna/Francesco Lamon/Jonathan Milan | 3:44,197 | |
| Tokyo 2020/2021 | Gold | Italy | Simone Consonni/Filippo Ganna/Francesco Lamon/Jonathan Milan | 3:42,032 |
| New WR | Silver | Denmark | Lasse Norman Hansen/Niklas Larsen/Frederik Madsen/Rasmus Pedersen | 3:42,198 |
| Bronze | Australia | Kelland O'Brien/Leigh Howard/Sam Welsford/Lucas Plapp(Alexander Edmondson) | OVL | |
| Rio de Janeiro 2016 | Gold | Great Britain | Edward Clancy/Steven Burke/Owain Doull/Bradley Wiggins | 3:50,265 |
| Silver | Australia | Alexander Edmondson/Jack Bobridge/Michael Hepburn/Sam Welsford(Callum Scotson) | 3:51,008 | |
| Bronze | Denmark | Lasse Norman Hansen/Niklas Larsen/Casper von Folsach/Frederik Madsen(Rasmus Quaade) | 3:53,789 | |
| London 2012 | Gold | Great Britain | Geraint Thomas/Ed Clancy/Peter Kennaugh/Steven Burke | 3:51,659 |
| Silver | Australia | Jack Bobridge/Glenn O'Shea/Rohan Dennis/Michael Hepburn | 3:54,581 | |
| Bronze | New Zealand | Sam Bewley/Marc Ryan/Jesse Sergent/Aaron Gate | 3:55,592 | |
| Peking 2008 | Gold | Great Britain | Paul Manning/Geraint Thomas/Bradley Wiggins/Ed Clancy | 3:53,314 |
| Silver | Denmark | Casper Joergensen/Jens-Erik Madsen/Michael Moerkoev/Alex Rasmussen(Michael Faerk Christensen) | 4:00,040 | |
| Bronze | New Zealand | Sam Bewley/Hayden Roulston/Marc Ryan/Jesse Sergent(Westley Gough) | 3:57,776 | |
| Athen 2004 | Gold | Australia | Graeme Brown/Bradley Mc Gee/Luke Roberts/Brett Lancaster | 3:58,233 |
| Silver | Great Britain | Paul Manning/Bradley Wiggins/Robert Hayles/Steve Cummmings/(Chris Newton) | 4:01,760 | |
| Bronze | Spain | Sergi Escobar/Asier Maetzu/Carlos Torrent/Carlos Castano | 4:05,523 | |
| Sydney 2000 | Gold | Germany | Robert Bartko/Jens Lehmann/Guido Fulst/Daniel Becke | 3:59.710 |
| Silver | Ukraine | Alexander Fedenko/Alexander Simonenko/Sergej Matveev/Sergej Chernyavskyy | 4:04.520 | |
| Bronze | Great Britain | Paul Manning/Bradley Wiggins/Chris Newton/Bryan Steel | 4:01.979 | |
| Atlanta 1996 | Gold | France | Philippe Ermenault/Jean-Michel Monin/Francis Moreau/Christophe Capelle | 4:05.930 |
| Silver | Russia | Eduard Gritsun/Alexej Markow/Nicolai Kusnezow/Anton Chautyr | 4:07.730 | |
| Bronze | Australia | Brett Aitken/Bradley Mc Gee/Dean Woods/Stuart O'Grady | 4:07.570 | |
| Barcelona 1992 | Gold | Germany | Michael Gloeckner/Jens Lehmann/Stefan Steinweg/Guido Fulst | 4:08.791 |
| Silver | Australia | Brett Aitken/Stephen McGlede/Shaun O'Brien/Stuart O'Grady | 4:10.218 | |
| Bronze | Denmark | Ken Frost/Jimmi Madsen/Jan Bo Petersen/Klaus Kynde Nilsen | 4:15.860 | |
| Seoul 1988 | Gold | Soviet Union | Viatcheslav Ekimov/Artouras Kaspoutis/Dmitri Nelubine/Gintaoutas Umaras | 4:13.31 |
| Silver | East Germany | Steffen Blochwitz/Roland Henni/Dirk Meier/Carsten Wolf | 4:14.09 | |
| Bronze | Australia | Brett Dutton/Wayne McCarney/Stephen McGlede/Dean Woods | 4:16.02 | |
| Los Angeles 1984 | Gold | Australia | Michael Grenca/Kevin Nichols/Michael Turtur/Dean Woods | 4:25.99 |
| Silver | United States | David Grylls/Steve Hegg/R. Patrick McDonough/Leonard Nitz | 4:25.60 | |
| Bronze | West Germany | Reinhard Alber/Rolf Golz/Roland Gunther/Michael Marx | 4:25.60 | |
| Moscow 1980 | Gold | Soviet Union | Viktor Manakov/Valeri Movchan/Vladimir Osokin/Vitali Petrakov | 4:15.70 |
| Silver | East Germany | Gerald Mortag/Matthias Wiegand/Volker Winkler/Uwe Unterwalder | 4:19.67 | |
| Bronze | Czechoslovakia | Teodor Cerny/Martin Penc/Jiri Pokorny/Igor Slama | 4:32.68 | |
| Montreal 1976 | Gold | West Germany | Gregor Braun/Hans Lutz/Gunther Schumacher/Peter Vonhof | 4:21.06 |
| Silver | Soviet Union | Vladimir Osokin/Aleksandr Perov/Vitali Petrakov/Viktor Sokolov | 4:27.15 | |
| Bronze | Great Britain | Ian Banbury/Michael Bennett/Robin Croker/Ian Hallam | 4:22.41 | |
| Munich 1972 | Gold | West Germany | Jurgen Colombo/Gunther Haritz/Udo Hempel/Gunther Schumacher | 4:22.14 |
| Silver | East Germany | Thomas Huschke/Heinz Richter/Herbert Richter/Uwe Unterwalder | 4:25.25 | |
| Bronze | Great Britain | Michael Bennett/Ian Hallam/Ronald Keble/William Moore | 4:23.78 | |
| Mexico City 1968 | Gold | Denmark | Gunnar Asmussen/Per Lyngemark/Reno Olsen/Mogens Frey Jensen | 4:22.44 |
| Silver | West Germany | Udo Hempel/Karl Link/Karlheinz Henrichs/Jurgen Kissner | 4:18.94 | |
| Bronze | Italy | Lorenzo Bosisio/Cipriano Chemello/Luigi Roncaglia/Giorgio Moribiato | 4:18.35 | |
| Tokyo 1964 | Gold | West Germany | Lothar Claesges/Karlheinz Henrichs/Karl Link/Ernst Streng | 4:35.67 |
| Silver | Italy | Luigi Roncaglia/Vincenzo Mantovani/Carlo Rancati/Franco Testa | 4:35.74 | |
| Bronze | Netherlands | Gerard Koel/Hendrik Cornelisse/Jacob Oudkerk/Cornelis Schurring | 4:38.99 | |
| Rome 1960 | Gold | Italy | Luigi Arienti/Franco Testa/Mario Vallotto/Marino Vigna | 4:30.90 |
| Silver | East Germany | Sigfried Kohler/Peter Groning/Manfred Klieme/Bernd Barleben | 4:35.78 | |
| Bronze | Soviet Union | Stanislav Moskvin/Viktor Romanov/Leonid Kolumbet/Arnold Belgardt | 4:34.05 | |
| Melbourne 1956 | Gold | Italy | Leandro Faggin/Valentino Gasparella/Antonio Domenicali/Franco Gandini | 4:37.4 |
| Silver | France | Michel Vermeulin/Jean-Claude Lecante/Rene Bianchi/Jean Graczyk | 4:39.4 | |
| Bronze | Great Britain | Donald Burgess/Michael Gambrill/John Geddes/Thomas Simpson | 4:42.2 | |
| Helsinki 1952 | Gold | Italy | Marino Morettini/Guido Messina/Mino De Rossi/Loris Campana | 4:46.1 |
| Silver | South Africa | Thomas F. Shardelow/Alfred Swift/Robert Fowler/George Estman | 4:53.6 | |
| Bronze | Great Britain | Ronald Stretton/Alan Newton/George Newberry/Donald Burgess | 4:51.5 | |
| London 1948 | Gold | France | Charles Coste/Serge Blusson/Ferdinand Decanali/Pierre Adam | 4:57.8 |
| Silver | Italy | Arnaldo Benfenati/Guido Bernardi/Anselm Citterio/Rino Pucci | 5:36.7 | |
| Bronze | Great Britain | Alan Geldard/Thomas Godwin/David Ricketts/Wilfred Waters | 4:55.8 | |
| Berlin 1936 | Gold | France | Robert Charpentier/Jean Goujon/Guy Lapebie/Roger Le Nizerhy | 4:45.0 |
| Silver | Italy | Bianco Bianchi/Mario Gentili/Armondo Severino/Mario Rigoni | 4:51.0 | |
| Bronze | Great Britain | Harry Hill/Ernest Johnson/Charles King/Ernest Mills | 4:53.6 | |
| Los Angeles 1932 | Gold | Italy | Marco Cimatti/Paolo Pedretti/Alberto Ghilardi/Nino Borsari | 4:53.0 |
| Silver | France | Amede Fournier/Rene Legreves/Henri Mouillefarine/Paul Chocque | 4:55.7 | |
| Bronze | Great Britain | Ernest Johnson/William Harvell/Frank Southall/Charles Holland | 4:56.0 | |
| Amsterdam 1928 | Gold | Italy | Luigi Tassellil/Giacomo Gaioni/Cesare Facciani/Mario Lusiani | 5:01.8 |
| Silver | Netherlands | Adriaan Braspenninx/Jan Maas/Johannes Pijnenburg/Piet van der Horst | 5:06.2 | |
| Bronze | Great Britain | Frank Wyld/Leonard Wyld/Percy Wyld/George Southall | no time | |
| Paris 1924 | Gold | Italy | Angelo De Martino/Alfredo Dinale/Aleardo Menegazzi/Francesco Zucchetti | 5:15.0 |
| Silver | Poland | Jozef Lange/Jan Lazarski/Tomasz Stankiewicz/Franciszek Szymczyk | no time | |
| Bronze | Belgium | Leonard Daghelinckx/Henri Hoevenaers/Fernaud Saive/Jean van den Bosch | no time | |
| Antwerp 1920 | Gold | Italy | Franco Giorgetti/Ruggero Ferrario/Arnaldo Carli/Primo Magnani | 5:20.0 |
| Silver | Great Britain | Albert White/Horace Thomas Johnson/William Stewart/Cyril Alden | no time | |
| Bronze | South Africa | James Walker/William Smith/Henry Kaltenbrun/Harry Goosen | no time | |
| London 1908 | Gold | Great Britain | Leon Meredity/Benjamin Jones/Ernest Payne/Charles Kingsbury | 2:18.6 |
| Silver | Germany | Hermann martens/Max Gotze/Karl Neumer/Rudolf Katzer | 2:28.6 | |
| Bronze | Canada | William Morton/Walter Andrews/Frederick McCarthy/William Anderson | 2:29.6 | |