24 Sep 2018 - 29 Sep 2018
Roma,
Lesotho 
Booking.com
Discipline: Stage race
Race class: S1
Men Elite results
| 1 | Hill Andrew | 17:23:19 | South Africa |
| 1 | Zellhuber Reinhard | 17:23:19 | South Africa |
| 2 | Bourdon Remy | 17:29:16 | France |
| 2 | Allard Basile | 17:29:16 | France |
| 3 | Monese Phetetso | 18:58:45 | Lesotho |
| 3 | Makae Tumelo | 18:58:45 | Lesotho |
Women Elite results
| 1 | Masitise Likeleli | 32:19:21 | Lesotho |
| 1 | Ebudilwe Matshidiso Bakang | 32:19:21 | Botswana |