Autodromo Nazionale di Monza · 10 September 1978
| Pos | Team | Points Breakdown | Pts | |
|---|---|---|---|---|
| 1 | Brabham Lauda 9 + Watson 6 | Lauda 9 + Watson 6 | 15 | |
| 2 | Ferrari Reutemann 4 + Villeneuve 0 | Reutemann 4 + Villeneuve 0 | 4 | |
| 3 | Ligier Laffite 3 | Laffite 3 | 3 | |
| 4 | McLaren Tambay 2 + Piquet 0 + Giacomelli 0 + Hunt 0 + Lunger 0 | Tambay 2 + Piquet 0 + Giacomelli 0 + Hunt 0 + Lunger 0 | 2 | |
| 5 | Team Lotus Andretti 1 + Peterson 0 | Andretti 1 + Peterson 0 | 1 | |
| 6 | Fittipaldi Fittipaldi 0 | Fittipaldi 0 | 0 | |
| 7 | Ensign Daly 0 | Daly 0 | 0 | |
| 8 | Tyrrell Depailler 0 + Pironi 0 | Depailler 0 + Pironi 0 | 0 | |
| 9 | Wolf Scheckter 0 | Scheckter 0 | 0 | |
| 10 | Williams Jones 0 | Jones 0 | 0 | |
| 11 | Shadow Regazzoni 0 + Stuck 0 | Regazzoni 0 + Stuck 0 | 0 | |
| 12 | Arrows Patrese 0 | Patrese 0 | 0 | |
| 13 | Merzario Merzario 0 | Merzario 0 | 0 | |
| 14 | Renault Jabouille 0 | Jabouille 0 | 0 | |
| 15 | Surtees Brambilla 0 | Brambilla 0 | 0 |
| Pos | Driver | Team | Race time / Gap | Laps | Stops | Pts | |
|---|---|---|---|---|---|---|---|
| 1 | Niki Lauda Brabham | Brabham | 1:07:04.540 | 40 | — | 9 | |
| 2 | John Watson Brabham | Brabham | +1.480s | 40 | — | 6 | |
| 3 | Carlos Reutemann Ferrari | Ferrari | +20.470s | 40 | — | 4 | |
| 4 | Jacques Laffite Ligier | Ligier | +37.530s | 40 | — | 3 | |
| 5 | Patrick Tambay McLaren | McLaren | +40.390s | 40 | — | 2 | |
| 6 | Mario Andretti Team Lotus | Team Lotus | +46.330s | 40 | — | 1 | |
| 7 | Gilles Villeneuve Ferrari | Ferrari | +48.480s | 40 | — | — | |
| 8 | Emerson Fittipaldi Fittipaldi | Fittipaldi | +55.240s | 40 | — | — | |
| 9 | Nelson Piquet McLaren | McLaren | +1:06.830 | 40 | — | — | |
| 10 | Derek Daly Ensign | Ensign | +1:09.110 | 40 | — | — | |
| 11 | Patrick Depailler Tyrrell | Tyrrell | +1:16.570 | 40 | — | — | |
| 12 | Jody Scheckter Wolf | Wolf | — | 39 | — | — | |
| 13 | Alan Jones Williams | Williams | — | 39 | — | — | |
| 14 | Bruno Giacomelli McLaren | McLaren | — | 39 | — | — | |
| 15 | Clay Regazzoni Shadow | Shadow | — | 33 | — | — | |
| 16 | Riccardo Patrese Arrows | Arrows | — | 28 | — | — | |
| 17 | James Hunt McLaren | McLaren | — | 19 | — | — | |
| 18 | Arturo Merzario Merzario | Merzario | — | 14 | — | — | |
| 19 | Jean-Pierre Jabouille Renault | Renault | — | 6 | — | — | |
| 20 | Ronnie Peterson Team Lotus | Team Lotus | — | 0 | — | — | |
| 21 | Didier Pironi Tyrrell | Tyrrell | — | 0 | — | — | |
| 22 | Hans-Joachim Stuck Shadow | Shadow | — | 0 | — | — | |
| 23 | Brett Lunger McLaren | McLaren | — | 0 | — | — | |
| 24 | Vittorio Brambilla Surtees | Surtees | — | 0 | — | — |