Med City Marathon
The Lowdown
Med City Marathon is an annual marathon weekend held in Rochester, Minnesota, home to the Mayo Clinic and nicknamed the "Med City." The event celebrated its 30th anniversary in 2026 and is presented by ActivePT. The race weekend includes a full marathon, a half marathon, a 20-miler, marathon and half-marathon relays, a 5K (including a Pride-edition 5K), and a kids run, alongside a health and fitness expo and a block party with live music from Midwest artists. The full marathon starts near Rochester International Airport, follows county roads through farmland and forest on a gentle downgrade, connects to the Zumbro River trail system, and finishes in downtown Rochester. The next edition is scheduled for May 15-16, 2027, with registration opening in October 2026.
Race Day
Weather Forecast
Elevation
Terrain Profile
Elevation data unavailable
Boston Qualifier
This race is a certified Boston Marathon qualifying event. Achieve your qualifying standard here on a verified course.
Rochester International Airport (start)
Zumbro River trail system
Downtown Rochester (finish)
Other distances available during the event weekend:
Rochester, MN, United States
US
Presented by ActivePT; other sponsors include Scheels, First Student, Go Brewing, Hy-Vee, Altra Federal Credit Union, and GLK Orthodontics
2026 edition was the 30th running of the race
Race weekend features the Med City Health & Fitness Expo and a Med City Block Party with live music
Community
Stories, tips, and race-day snapshots from runners who have tackled this course.
Community Reviews
Learn from fellow runners and share insights that will help the next person toe the line.

