Finale: 26.08.2004
| Medaille | Sportler | Nation |
| Gold | Shawn Crawford | USA |
| Silber | Bernard Williams | USA |
| Bronze | Justin Gatlin | USA |
| Rang | Sportler | Nation | Sekunden |
| 1 | Shawn Crawford | USA | 19,79 WJB |
| 2 | Bernard Williams | USA | 20,01 |
| 3 | Justin Gatlin | USA | 20,03 |
| 4 | Frank Fredericks | Namibia | 20,14 |
| 5 | Francis Obikwelu | Portugal | 20,14 |
| 6 | Stephane Buckland | Mauritius | 20,24 |
| 7 | Tobias Unger | Deutschland | 20,64 |
| 8 | Asafa Powell | Jamaika | nicht angetreten |