Autodromo Nazionale di Monza · 10 September 1978
Niki Lauda won the 1978 Italian Grand Prix for Brabham from 4th on the grid, 1.48s ahead of John Watson. Nelson Piquet gained the most places, from 24th on the grid to 9th.
| 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 | +1 Lap | 39 | — | — | |
| 13 | Alan Jones Williams | Williams | +1 Lap | 39 | — | — | |
| 14 | Bruno Giacomelli McLaren | McLaren | +1 Lap | 39 | — | — | |
| NC | Clay Regazzoni Shadow | Shadow | NC | 33 | — | — | |
| DNF | Riccardo Patrese Arrows | Arrows | DNF Engine | 28 | — | — | |
| DNF | James Hunt McLaren | McLaren | DNF Distributor | 19 | — | — | |
| DNF | Arturo Merzario Merzario | Merzario | DNF Engine | 14 | — | — | |
| DNF | Jean-Pierre Jabouille Renault | Renault | DNF Engine | 6 | — | — | |
| DNF | Ronnie Peterson Team Lotus | Team Lotus | DNF Accident | 0 | — | — | |
| DNF | Didier Pironi Tyrrell | Tyrrell | DNF Accident | 0 | — | — | |
| DNF | Hans-Joachim Stuck Shadow | Shadow | DNF Accident | 0 | — | — | |
| DNF | Brett Lunger McLaren | McLaren | DNF Accident | 0 | — | — | |
| DNF | Vittorio Brambilla Surtees | Surtees | DNF Accident | 0 | — | — |