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GP of the USA east Watkins Glen 1-10-1978, 59 laps of 5.435 m, Total distance 320.651 m
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| Pos | No | Driver | Team-engine | Diff | Reason |
| 1 | - | Carlos Reutemann | Ferrari 312T3 | 1:40:48.800 | - |
| 2 | - | Alan Jones | Williams-Ford FW06 | -19.739 | - |
| 3 | - | Jody Scheckter | Wolf-Ford WR6 | -45.701 | - |
| 4 | - | Jean-Pierre Jabouille | Renault RS01 | -1:25.007 | - |
| 5 | - | Emerson Fittipaldi | Copersucar-Ford F5A | -1:28.089 | - |
| 6 | - | Patrick Tambay | McLaren-Ford M26 | -1:50.210 | - |
| 7 | - | James Hunt | McLaren-Ford M26 | -1 lap | - |
| 8 | - | Derek Daly | Ensign-Ford N177 | -1 lap | - |
| 9 | - | René Arnoux | Surtees-Ford TS20 | -1 lap | - |
| 10 | - | Didier Pironi | Tyrrell-Ford 008 | -1 lap | - |
| 11 | - | Jacques Laffite | Ligier-Matra JS9 | -1 lap | - |
| 12 | - | Bobby Rahal | Wolf-Ford WR5 | -1 lap | - |
| 13 | - | Brett Lunger | Ensign-Ford N177 | -1 lap | - |
| 14 | - | Clay Regazzoni | Shadow-Ford DN9 | -3 laps | - |
| 15 | - | Jean-Pierre Jarier | Lotus-Ford 79 | -4 laps | Fuel |
| 16 | - | Rolf Stommelen | Arrows-Ford FA1 | -5 laps | - |
| 17 | - | Arturo Merzario | Merzario-Ford A1 | -13 laps | Gearbox |
| 18 | - | Michael Bleekemolen | ATS-Ford HS1 | -16 laps | Oil leak |
| 19 | 1 | Niki Lauda | Brabham-Alfa Romeo BT46 | -31 lap | Engine |
| 20 | - | Mario Andretti | Lotus-Ford 79 | -32 laps | Engine |
| 21 | - | John Watson | Brabham-Alfa Romeo BT46 | -34 laps | Engine |
| 22 | - | Patrick Depailler | Tyrrell-Ford 008 | -36 laps | Unknown |
| 23 | - | Gilles Villeneuve | Ferrari 312T3 | -37 laps | Engine |
| 24 | - | Keke Rosberg | ATS-Ford D1 | -38 laps | Transmission |
| 25 | - | Hans-Joachim Stuck | Shadow-Ford DN9 | -58 laps | Fuel |
| 26 | - | Hector Rebaque | Lotus-Ford 78 | -59 laps | Clucth |
| 27 | - | Beppe Gabbiani | Surtees-Ford TS20 | DNQ | - |