This is a listing of first-place, second-place, third-place and fourth-place finishers, and the number of starters in the Kentucky Derby, a Grade I American Thoroughbred race run at 1+1⁄4 miles on dirt for three-year-olds. It is the first leg of the American Triple Crown, run at Churchill Downs in Louisville, Kentucky.

A † designates a Triple Crown Winner.

Note: D. Wayne Lukas swept the 1995 Triple Crown with two different horses.

^* In 2021, Medina Spirit finished first, but was disqualified after a post-race urine sample revealed traces of a banned drug, betamethasone, in the horse. Mandaloun was placed first.

^**In 2019, Maximum Security finished first, but was disqualified to 17th for fouling War of Will.

^***In 1984, Gate Dancer finished fourth, but was disqualified for fouling Fali Time, who was then moved up from 5th to 4th place.

^****In 1968, Dancer's Image finished first, but was disqualified after a post-race urine sample revealed traces of a banned drug in the horse. The drug in question - phenylbutazone - illegal at the time, is now legal for use on racehorses in many states, including Kentucky. Forward Pass was placed first.

• Kentucky Oaks top three finishers
• List of graded stakes at Churchill Downs