Med City Marathon, presented by ActivePT

Lace up for the Med City Marathon, presented by ActivePT, a premier Midwest running event taking place on May 16, 2026, in Rochester, MN. Celebrating its 30th anniversary, this race weekend offers distances for every runner, including a 26.2M marathon, 20M, 13.1M half marathon, 5K, 3.1M, and 1.2M. Typical race day conditions feature pleasant temperatures, with highs around 69°F and lows around 48°F, and a modest 17% chance of precipitation, offering favorable running weather.

The Med City Marathon boasts a USATF-certified, Boston-Qualifying course celebrated for its speed and downhill feel, ranking as the 2nd fastest in Minnesota. Marathoners begin their journey near the Rochester International Airport, enjoying approximately eight miles of mostly downhill or rolling terrain before the course flattens out. Runners will experience diverse scenery, winding through scenic country roads, tree-lined neighborhoods, parks, and along the picturesque Zumbro River on the Mayowood Trail, culminating in a vibrant downtown finish at 1st Ave SW and 3rd St SW, near the Mayo Civic Center.

This point-to-point race ensures a well-supported experience with multiple aid stations along the course and convenient shuttle bus transportation from downtown to the start line. Runners consistently praise the friendly volunteers and ample refreshments. Cross the finish line into an energetic festival atmosphere complete with a live band and a complimentary beer for those 21 and older, celebrating your accomplishment in the heart of Rochester. Personalized race photography is also provided free of charge, capturing your unforgettable moments.