Swimming at the 2019 African Games – Men's 400 metre individual medley
The Men's 400 metre medley competition of the 2019 African Games was held on 22 August 2019.Records
Prior to the competition, the existing world and championship records were as follows.
Results
| Rank | Lane | Name | Nationality | Time | Notes |
| 6 | Ramzi Chouchar | | 4:23.53 | |
| 4 | Ayrton Sweeney | | 4:26.88 | |
| 3 | Ahmed Salem | | 4:28.35 | |
| 4 | 7 | Neil Fair | | 4:28.55 | |
| 5 | 5 | Jaouad Syoud | | 4:31.50 | |
| 6 | 2 | Yassin Elshamaa | | 4:37.70 | |
| 7 | 1 | Abdeljabbar Regragui | | 4:47.15 | |
