It ends a five-year legal battle that began in the wake of the huge abuse scandal that rocked US sport.
Nassar was sentenced to over 300 years in jail in 2018 for molesting gymnasts.
Athletes including a number of Olympic medallists testified about how Nassar sexually abused them.
The settlement is among the largest ever for a sexual abuse case, and as part of the agreement USA Gymnastics and the Olympic Committee will give board seats to survivors.
