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- beauty pageant: Miss Iowa USA
- edition: 68th
- date: October 6, 2019
- venue: Newton High School Auditorium, Newton, Iowa, United States
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FINALISTS
| PLACEMENT | CANDIDATES |
| Top 13 | Vlora Ajeti Faith Bourgeacq Taylor Grapp Brook Hankins Martina Hoogland Caroline Sipiera Ashley Stender Tayler Winn |
| Top 5 | Aryn Book Jarika Eisentrager Randi Estabrook Morgan Kofoid Reilly Moeller |
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SPECIAL AWARDS
| AWARD | CANDIDATE |
| Miss Congeniality | Brook Hankins |
| Miss Photogenic | Jarika Eisentrager |
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WINNERS
| PLACEMENT | 2020 | 2019 |
| 4th runner-up | Jarika Eisentrager | Ashley Hoff |
| 3rd runner-up | Reilly Moeller | Jordan Foster |
| 2nd runner-up | Aryn Book | Morgan Kofoid |
| 1st runner-up | Randi Estabrook | Emmy Cuvelier |
| Miss Iowa USA | Morgan Kofoid Leon | Baylee Drezek Davenport |
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