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GP of Monaco Monte Carlo 17-5-1978, 75 laps of 3.312 m, Total distance
248.400 m
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| Pos | No | Driver | Team-engine | Diff | Reason |
| 1 | - | Patrick Depailler | Tyrrell-Ford 008 | 1:55:14.66 | - |
| 2 | 1 | Niki Lauda | Brabham-Alfa Romeo BT46 | -22.45 | - |
| 3 | - | Jody Scheckter | Wolf-Ford WR1 | -32.29 | - |
| 4 | - | John Watson | Brabham-Alfa Romeo BT46 | -33.53 | - |
| 5 | - | Didier Pironi | Tyrrell-Ford 008 | -1:08.06 | - |
| 6 | 35 | Riccardo Patrese | Arrows-Ford FA1 | -1:08.77 | - |
| 7 | - | Patrick Tambay | McLaren-Ford M26 | -1 lap | - |
| 8 | - | Carlos Reutemann | Ferrari 312T3 | -1 lap | - |
| 9 | - | Emerson Fittipaldi | Copersucar-Ford F5A | -1 lap | - |
| 10 | - | Jean-Pierre Jabouille | Renault RS01 | -4 laps | - |
| 11 | - | Mario Andretti | Lotus-Ford 78 | -6 laps | - |
| 12 | - | Gilles Villeneuve | Ferrari 312T3 | -13 laps | Tyre |
| 13 | - | Ronnie Peterson | Lotus-Ford 78 | -19 laps | Gearbox |
| 14 | - | James Hunt | McLaren-Ford M26 | -32 laps | Unknown |
| 15 | - | Rolf Stommelen | Arrows-Ford FA1 | -37 laps | Unknown |
| 16 | - | Alan Jones | Williams-Ford FW06 | -46 laps | Oil leak |
| 17 | - | Jacky Ickx | Ensign-Ford N177 | -48 laps | Brakes |
| 18 | - | Hans-Joachim Stuck | Shadow-Ford DN9 | -51 lap | Collision |
| 19 | - | Jacques Laffite | Ligier-Matra JS9 | -62 laps | Gearbox |
| 20 | - | Rupert Keegan | Surtees-Ford TS19 | -67 laps | Wheel |
| 21 | - | Jochen Mass | ATS-Ford HS1 | DNQ | - |
| 22 | - | Clay Regazzoni | Shadow-Ford DN9 | DNQ | - |
| 23 | - | Jean-Pierre Jarier | ATS-Ford HS1 | DNQ | - |
| 24 | - | Vittorio Brambilla | Surtees-Ford TS20 | DNQ | - |
| 25 | - | Brett Lunger | McLaren-Ford M23 | DNQ | - |
| 26 | - | Keke Rosberg | Theodore-Ford TR1 | DNQ | - |
| 27 | - | Arturo Merzario | Merzario-Ford A1 | DNQ | - |
| 28 | - | Derek Daly | Hesketh-Ford 308E | DNQ | - |
| 29 | - | René Arnoux | Martini-Ford Mk23 | DNQ | - |
| 30 | - | Hector Rebaque | Lotus-Ford 78 | DNQ | - |