Peringkat kelima tercepat ditempati oleh pembalap Pramac Ducati, Jack Miller. Pria berpaspor Australia itu sukses mencatat waktu 1 menit 47,266 detik. Sementara itu, Valentino Rossi masih belum bisa memperbaiki catatan waktunya dan hanya mengakhiri sesi ini di urutan ke-12.

Berikut hasil lengkap sesi latihan bebas empat MotoGP Italia 2019.
1. Fabio Quartararo FRA Petronas Yamaha SRT (YZR-M1)* 1m 46.799s [Lap 15/15] 338km/h(Top Speed)
2. Maverick Viñales ESP Monster Yamaha (YZR-M1) 1m 46.877s +0.078s [15/15] 341k
3. Marc Marquez ESP Repsol Honda (RC213V) 1m 46.960s +0.161s [4/13] 346k
4. Alex Rins ESP Suzuki Ecstar (GSX-RR) 1m 47.160s +0.361s [10/12] 345k
5. Jack Miller AUS Pramac Ducati (GP19) 1m 47.266s +0.467s [9/12] 348k
6. Cal Crutchlow GBR LCR Honda (RC213V) 1m 47.279s +0.480s [4/14] 352k
7. Takaaki Nakagami JPN LCR Honda (RC213V) 1m 47.291s +0.492s [11/14] 339k
8. Danilo Petrucci ITA Mission Winnow Ducati (GP19) 1m 47.294s +0.495s [10/12] 347k
9. Andrea Dovizioso ITA Mission Winnow Ducati (GP19) 1m 47.302s +0.503s [3/12] 356k
10. Franco Morbidelli ITA Petronas Yamaha SRT (YZR-M1) 1m 47.457s +0.658s [5/14] 334k
11. Aleix Espargaro ESP Factory Aprilia Gresini (RS-GP) 1m 47.464s +0.665s [4/14] 346k
12. Valentino Rossi ITA Monster Yamaha (YZR-M1) 1m 47.607s +0.808s [3/13] 340k
13. Michele Pirro ITA Mission Winnow Ducati (GP19) 1m 47.614s +0.815s [4/9] 348k
14. Francesco Bagnaia ITA Pramac Ducati (GP18)* 1m 47.817s +1.018s [11/11] 340k
15. Pol Espargaro ESP Red Bull KTM Factory (RC16) 1m 47.826s +1.027s [4/11] 342k
16. Joan Mir SPA Suzuki Ecstar (GSX-RR)* 1m 47.965s +1.166s [11/13] 340k
17. Miguel Oliveira POR Red Bull KTM Tech3 (RC16)* 1m 48.023s +1.224s [8/14] 341k
18. Jorge Lorenzo ESP Repsol Honda (RC213V) 1m 48.094s +1.295s [9/15] 342k
19. Andrea Iannone ITA Factory Aprilia Gresini (RS-GP) 1m 48.102s +1.303s [6/14] 341k
20. Tito Rabat ESP Reale Avintia Ducati (GP18) 1m 48.103s +1.304s [4/14] 346k
21. Johann Zarco FRA Red Bull KTM Factory (RC16) 1m 48.167s +1.368s [12/12] 341k
22. Hafizh Syahrin MAL Red Bull KTM Tech3 (RC16) 1m 48.814s +2.015s [14/14] 339k
23. Karel Abraham CZE Reale Avintia Ducati (GP18) 1m 48.979s +2.180s [7/7] 339k
(Fetra Hariandja)