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- beauty pageant: Miss Iowa USA
- edition: 67th
- date: October 8, 2018
- venue: Newton High School Auditorium, Newton, Iowa, United States
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FINALISTS
| PLACEMENT | CANDIDATES |
| Top 13 | Taylor Cassady Jarika Eisentrager Randi Estabrook Maggie Gehlsen Veronica Greene Martina Hoogland Brooke Stahlberg |
| Top 5 | Emmy Cuvelier Baylee Drezek Jordan Foster Morgan Kofoid Ashley Hoff |
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SPECIAL AWARDS
| AWARD | CANDIDATE |
| Miss Congeniality | Zeinab Asghari |
| Miss Photogenic | Baylee Drezek |
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WINNERS
| PLACEMENT | 2019 | 2018 |
| 4th runner-up | Ashley Hoff | Jordan Foster |
| 3rd runner-up | Jordan Foster | Ashley Hoff |
| 2nd runner-up | Morgan Kofoid | Lindsay Trappen |
| 1st runner-up | Emmy Cuvelier | Savannah Necker |
| Miss Iowa USA | Baylee Drezek Davenport | Jenny Valliere Cedar Rapids |
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