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The UCI Road World Championships - Men's under-23 road race is the annual world championship for road bicycle racing in the discipline of time trial, organised by the world governing body, the Union Cycliste Internationale. The event was first run in 1996. In 2020 no race was held due to the COVID-19 pandemic.
| Rank | Nation | Gold | Silver | Bronze | Total |
|---|---|---|---|---|---|
| 1 |  Italy | 6 | 6 | 4 | 16 |
| 2 |  France | 5 | 3 | 1 | 9 |
| 3 |  Norway | 3 | 0 | 3 | 6 |
| 4 |  Germany | 2 | 3 | 2 | 7 |
| 5 |  Ukraine | 2 | 1 | 1 | 4 |
| 6 |  Kazakhstan | 2 | 0 | 0 | 2 |
| 7 |  Australia | 1 | 3 | 0 | 4 |
| 8 |  Slovakia | 1 | 1 | 1 | 3 |
 Switzerland | 1 | 1 | 1 | 3 | |
| 10 |  Colombia | 1 | 1 | 0 | 2 |
| 11 |  Russia | 1 | 0 | 3 | 4 |
| 12 |  Belarus | 1 | 0 | 0 | 1 |
 Slovenia | 1 | 0 | 0 | 1 | |
 Uzbekistan | 1 | 0 | 0 | 1 | |
| 15 |  Belgium | 0 | 2 | 2 | 4 |
| 16 |  Spain | 0 | 2 | 0 | 2 |
| 17 |  Netherlands | 0 | 1 | 2 | 3 |
| 18 |  Czech Republic | 0 | 1 | 0 | 1 |
 Eritrea | 0 | 1 | 0 | 1 | |
 Portugal | 0 | 1 | 0 | 1 | |
 South Africa | 0 | 1 | 0 | 1 | |
| 22 |  Great Britain | 0 | 0 | 3 | 3 |
| 23 |  Denmark | 0 | 0 | 2 | 2 |
| 24 |  Austria | 0 | 0 | 1 | 1 |
 Canada | 0 | 0 | 1 | 1 | |
 Finland | 0 | 0 | 1 | 1 | |
 United States | 0 | 0 | 1 | 1 | |
| Totals (27 entries) | 28 | 28 | 29 | 85 | |
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