The women's 200m individual medley events at the 2020 World Para Swimming European Open Championships were held at the Penteada Olympic Pools Complex.
| Rank | Name | Nationality | Time | Notes |
|---|---|---|---|---|
| 1 | Giulia Terzi |  Italy | 3:13.30 | Q |
| 2 | Anna Hontar |  Ukraine | 3:19.28 | Q |
| 3 | Milana Shchelokova |  Russia | 3:24.73 | Q |
| 4 | Judit Rolo Marichal |  Spain | 3:39.31 | Q |
| 5 | Aitana Estrada Chavez | Spain | 3:41.79 | Q |
| 6 | Katherina Roesler |  Germany | 3:44.87 | Q |
| 7 | Meri-Maari Makinen |  Finland | 3:46.55 | Q |
| 8 | Ida Andersson Wulf |  Sweden | 3:47.49 | Q |
| 9 | Nil Sahin |  Turkey | 4:01.19 | |
| — | Evelin Szaraz |  Hungary | DNS |
| Rank | Name | Nationality | Time | Notes |
|---|---|---|---|---|
 | Giulia Terzi | Italy | 3:08.12 | ER |
 | Anna Hontar | Ukraine | 3:13.00 | |
 | Milana Shchelokova | Russia | 3:18.09 | |
| 4 | Judit Rolo Marichal | Spain | 3:37.53 | |
| 5 | Aitana Estrada Chavez | Spain | 3:42.06 | |
| 6 | Meri-Maari Makinen | Finland | 3:43.43 | |
| 7 | Katherina Roesler | Germany | 3:46.42 | |
| 8 | Ida Andersson Wulf | Sweden | 3:48.55 |
Nikita Stevie Howarth is a New Zealand para-cyclist and para-swimmer. She became New Zealand's youngest ever Paralympian after being selected for the 2012 Summer Paralympics, aged 13 years 8 months. She again represented New Zealand at the 2016 Summer Paralympics, where she won the gold medal in the women's 200 metre individual medley SM7 and the bronze medal in the women's 50 metre butterfly S7.
Jesse Aungles is an Australian Paralympic swimmer. He represented Australia at the 2016 Summer Paralympics and the 2020 Summer Paralympics
Tully Alicia Jacqueline Kearney is a British Paralympic swimmer. Kearney competes in the S5, SB4, SM5 classification for swimmers with physical disabilities. She won Gold and Silver at the Tokyo 2020 Paralympic Games setting World records in both the 50 m and 100 m freestyle. She has also won medals in three IPC Swimming World Championships winning Bronze in the 2013 IPC Swimming World Championships, setting a British record; four Golds, a Silver and a Bronze in the 2015 World Championships setting three European records and becoming GB’s highest medal earner of the Championships, and three Golds at the World Para Swimming Championships in 2019, setting three British records and two Championship records. In addition, she won Gold and Bronze at the World Para Swimming European Championships in 2018. Kearney is a multiple British, European and World record holder.
The men's 200m individual medley events at the 2020 World Para Swimming European Championships were held at the Penteada Olympic Pools Complex.
