See main article: Athletics at the 2008 Summer Paralympics.
The Men's Marathon T46 had its Final held on September 17 at 7:30.
| Place | width=250 | Athlete ! | width=100 | Final |
|---|---|---|---|---|
| 1 | 2:27:04 WR | |||
| 2 | 2:30:49 | |||
| 3 | 2:32.51 | |||
| 4 | 2:33.57 | |||
| 5 | 2:35:31 | |||
| 6 | 2:35:54 | |||
| 7 | 2:37:03 | |||
| 8 | 2:38:57 | |||
| 9 | 2:41:32 | |||
| 10 | 2:45:47 | |||
| 11 | 2:45:48 | |||
| 12 | 2:56:53 | |||
| 13 | 3:11:12 | |||
| DNF | ||||