The men's 4 x 50 metre medley relay at the 2009 IPC Swimming European Championships was held at Laugardalslaug in Reykjavik from 18–24 October.

Medalists 20pts Xavier Torres Ramis (S5)Ricardo Ten Argiles (SB5)Daniel Vidal (S6)Sebastian Rodriguez Veloso (S5) 2:40.10 James Anderson (S2)Matthew Whorwood (SB6)Sascha Kindred (S6)Anthony Stephens (S6)2:58.36 Stylianos Tsakonas (S4)Vasileios Tsagkaris (SB3)Christakis Panagiotis (S6)Charalampos Papaioannou (S7) 2:58.96

See also List of IPC world records in swimming

References