- beauty pageant: Miss Tennessee USA
- edition: 71st
- date: March 11, 2023
- venue: George and Sharon Mabry Concert Hall, Austin Peay State University, Clarksville, Montgomery County, Tennessee, United States
- national membership: Miss USA
- candidates: 48
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FINALISTS
| PLACEMENT | NAME (HOMETOWN) |
| Top 16 | Taylor Gipson (Bluff City) Rosie Westerbeck (Brentwood) Corrin Stellakis (East Nashville) Allyssa Weyant (Lebanon) Livi Self (Middle Tennessee) Sabrina Ponte (Music City) Kinsley Williams (South Nashville) Tatum Sheppard (Tennessee Waltz) Christian Bevere (West Franklin) Emma Hill (West Tennessee) Demi Patonis (Williamson County) |
| Top 5 | Regan Ringler (Downtown Nashville) Christell Foote (Historic Franklin) Madison Kunst (Madison County) Alexis Sanders (Mid-South) Emma Conn (Nashville) |
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SPECIAL AWARDS
| AWARD | CANDIDATE |
| Miss Congeniality | |
| Miss Photogenic |
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WINNERS
| PLACEMENT | 2023 | 2022 |
| 4th runner-up | Alexis Sanders Mid-South | Elise Stein Downtown Nashville |
| 3rd runner-up | Madison Kunst Madison County | Macy Garner Greenfield |
| 2nd runner-up | Christell Foote Historic Franklin | Regan Ringler Heart of Nashville |
| 1st runner-up | Emma Conn Nashville | Emma Conn Knoxville |
| Miss Tennessee USA | Regan Ringler Downtown Nashville | Emily Suttle Franklin |
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