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The men's 4×100 metre medley relay at the 2009 World Aquatics Championships took place on 2 August 2009 at the Foro Italico in Rome, Italy.
The existing records when the event started were:
Rome, United States, Berlin, Doha, Germany
United States, Ryan Lochte, Tiger Woods, Pan Pacific Swimming Championships, Lance Armstrong
Rod Laver Arena, Matt Welsh, Brenton Rickard, Andrew Lauterstein, Eamon Sullivan