Watkins Glen · 1 October 1978
| Pos | Team | Points Breakdown | Pts | |
|---|---|---|---|---|
| 1 | Ferrari Reutemann 9 + Villeneuve 0 | Reutemann 9 + Villeneuve 0 | 9 | |
| 2 | Williams Jones 6 | Jones 6 | 6 | |
| 3 | Wolf Scheckter 4 + Rahal 0 | Scheckter 4 + Rahal 0 | 4 | |
| 4 | Renault Jabouille 3 | Jabouille 3 | 3 | |
| 5 | Fittipaldi Fittipaldi 2 | Fittipaldi 2 | 2 | |
| 6 | McLaren Tambay 1 + Hunt 0 | Tambay 1 + Hunt 0 | 1 | |
| 7 | Ensign Daly 0 + Lunger 0 | Daly 0 + Lunger 0 | 0 | |
| 8 | Martini Arnoux 0 | Arnoux 0 | 0 | |
| 9 | Tyrrell Pironi 0 + Depailler 0 | Pironi 0 + Depailler 0 | 0 | |
| 10 | Ligier Laffite 0 | Laffite 0 | 0 | |
| 11 | Shadow Regazzoni 0 + Stuck 0 | Regazzoni 0 + Stuck 0 | 0 | |
| 12 | Team Lotus Jarier 0 + Andretti 0 + Rebaque 0 | Jarier 0 + Andretti 0 + Rebaque 0 | 0 | |
| 13 | Arrows Stommelen 0 | Stommelen 0 | 0 | |
| 14 | Merzario Merzario 0 | Merzario 0 | 0 | |
| 15 | ATS Bleekemolen 0 + Rosberg 0 | Bleekemolen 0 + Rosberg 0 | 0 | |
| 16 | Brabham Lauda 0 + Watson 0 | Lauda 0 + Watson 0 | 0 |
| Pos | Driver | Team | Race time / Gap | Laps | Stops | Pts | |
|---|---|---|---|---|---|---|---|
| 1 | Carlos Reutemann Ferrari | Ferrari | 1:40:48.800 | 59 | — | 9 | |
| 2 | Alan Jones Williams | Williams | +19.739s | 59 | — | 6 | |
| 3 | Jody Scheckter Wolf | Wolf | +45.701s | 59 | — | 4 | |
| 4 | Jean-Pierre Jabouille Renault | Renault | +1:25.007 | 59 | — | 3 | |
| 5 | Emerson Fittipaldi Fittipaldi | Fittipaldi | +1:28.089 | 59 | — | 2 | |
| 6 | Patrick Tambay McLaren | McLaren | +1:50.210 | 59 | — | 1 | |
| 7 | James Hunt McLaren | McLaren | — | 58 | — | — | |
| 8 | Derek Daly Ensign | Ensign | — | 58 | — | — | |
| 9 | René Arnoux Martini | Martini | — | 58 | — | — | |
| 10 | Didier Pironi Tyrrell | Tyrrell | — | 58 | — | — | |
| 11 | Jacques Laffite Ligier | Ligier | — | 58 | — | — | |
| 12 | Bobby Rahal Wolf | Wolf | — | 58 | — | — | |
| 13 | Brett Lunger Ensign | Ensign | — | 58 | — | — | |
| 14 | Clay Regazzoni Shadow | Shadow | — | 56 | — | — | |
| 15 | Jean-Pierre Jarier Team Lotus | Team Lotus | — | 55 | — | — | |
| 16 | Rolf Stommelen Arrows | Arrows | — | 54 | — | — | |
| 17 | Arturo Merzario Merzario | Merzario | — | 46 | — | — | |
| 18 | Michael Bleekemolen ATS | ATS | — | 43 | — | — | |
| 19 | Niki Lauda Brabham | Brabham | — | 28 | — | — | |
| 20 | Mario Andretti Team Lotus | Team Lotus | — | 27 | — | — | |
| 21 | John Watson Brabham | Brabham | — | 25 | — | — | |
| 22 | Patrick Depailler Tyrrell | Tyrrell | — | 23 | — | — | |
| 23 | Gilles Villeneuve Ferrari | Ferrari | — | 22 | — | — | |
| 24 | Keke Rosberg ATS | ATS | — | 21 | — | — | |
| 25 | Hans-Joachim Stuck Shadow | Shadow | — | 1 | — | — | |
| 26 | Hector Rebaque Team Lotus | Team Lotus | — | 0 | — | — |