Sofia Goggia led an Italian podium sweep of a World Cup downhill, while Lindsey Vonn and the Americans all finished outside the top 10 on Sunday.
Goggia, 25, notched her first victory this season and since winning both races at the PyeongChang Olympic venue last March among 13 podiums total in the campaign.
She prevailed by 1.10 seconds over countrywoman Federica Brignone.
Nadia Fanchini was third on a tricky, shortened course in Bad Kleinkirchheim, Austria.
Laurenne Ross was the top American in 13th, with Vonn skiing conservatively for 27th place, 3.03 seconds slower than Goggia. Vonn waved off after finishing her run.
“I knew it was going to be a struggle,” Vonn said. “Really poor visibility and pretty icy and bumpy conditions. … I really had no grip on the ice. Felt like I was skiing on marbles.
“This course takes a lot of aggression and really willing to risk everything. I’m just not willing to risk everything right now. I’ve been waiting eight years for the Olympics. I’m not necessarily disappointed in my result because it honestly doesn’t matter right now. What matters is that I’m healthy, and I didn’t end my season this weekend.”
Tough snow conditions dogged the venue all week, with one training run canceled and another shortened before racing started with a super-G on Saturday.
Another downhill training run was squeezed in hours before Sunday morning’s event.
Vonn didn’t commit to racing either day until seeing the course conditions. She was ninth in Saturday’s super-G, which marked her second-best result in eight races this season (one victory).
Ross’ 13th-place finish Sunday can be considered a bright spot.
The Sochi Olympian raced downhill, scared, for the first time since blowing out her right knee in a March 27 crash.
“These are the most difficult conditions I’ve skied in since I’ve been injured,” Ross said. “I definitely had a lot of doubt and fear an anxiety. … It didn’t feel good, but I suppose nobody’s run felt that great.”
The World Cup moves to Cortina d’Ampezzo, Italy, next weekend, with Vonn and World Cup overall leader Mikaela Shiffrin headlining.
They are the final races before the full U.S. Olympic Alpine team will be named.
Vonn, Shiffrin, Resi Stiegler and Megan McJames have already qualified for the team.
The big-name question mark is Julia Mancuso, who has raced twice since March 2015 due to hip problems, finishing 42nd and 45th in December super-Gs.
Mancuso, 33, is the most decorated U.S. female Olympic skier with four medals.
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