The women's 20 kilometres race walk event at the 1999 European Athletics U23 Championships was held in Göteborg, Sweden, on 31 July 1999.
| Gold | Claudia Iovan | |
| Silver | Lyudmila Dedekina | |
| Bronze | Melanie Seeger |
31 July
| Rank | Name | Nationality | Time | Notes | |||
|---|---|---|---|---|---|---|---|
| align=left | align=left | | 1:33:17 | CR | |||
| align=left | align=left | | 1:34:02 | ||||
| align=left | align=left | 1:34:17 | |||||
| 4 | align=left | align=left |  | 1:34:38 | |||
| 5 | align=left | align=left |  | 1:35:32 | |||
| 6 | align=left | align=left |  | 1:37:07 | |||
| 7 | align=left | align=left |  | 1:40:.51 | |||
| 8 | align=left | align=left |  | 1:41:00 | |||
| 9 | align=left | align=left | | 1:45:13 | |||
| 10 | align=left | align=left | 1:46:09 | ||||
| align=left | align=left | DQ |
According to an unofficial count, 11 athletes from 9 countries participated in the event.
(1) (1) (1) (1) (1) (2) (1)