The event was the gymnast's final chance to compete in the Tokyo Olympics.
Guan Chenchen and Tang Xijing of China took home the gold and silver, respectively.
This marked Biles' return to the mat after withdrawing from four competitions due to mental health struggles that kept her from safely performing her routines.
Biles' performance took place exactly one week following her initially withdrawing from the women's team final after competing in the first rotation. She went on to exit three additional events due to struggling with the "twisties," a mental block where gymnasts lose track of their position midair.
"I didn't have a bad performance and quit. I've had plenty of bad performances throughout my career and finished the competition," she wrote after the women's team final. "I simply got so lost my safety was at risk as well as a team medal. Therefore the girls stepped up and killed the rest of the competition and won silver. QUEENS!!!! Hence why we have 4 team members [because] ALLLLL of us can compete in team meet. Not just me."