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- beauty pageant: Miss West Virginia USA
- edition: 72nd
- date: June 4, 2023
- venue: Virginia Thomas Law Center for the Performing Arts, West Virginia Wesleyan College, Buckhannon, Upshur County, West Virginia, United States
- national membership: Miss USA
- candidates: 19
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FINALISTS
| PLACEMENT | NAME (HOMETOWN) |
| Top 10 | Marleigh Ross (Huntington) Sarah Parrish (Mannington District) Katie Billeter (Pleasants County) Caylie Simmons (Seneca Rocks) Emily Prichard (Wyoming County) |
| Top 5 | Tamia Hardy (Berkeley County) Nevaeh Harmon (Charleston) Emma Knapp (Star City) Cassidy Myers (Strawberry Festival) Erin Wellman (Three Rivers Festival) |
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SPECIAL AWARDS
| AWARD | CANDIDATE |
| Miss Congeniality | |
| Miss Photogenic |
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WINNERS
| PLACEMENT | 2023 | 2022 |
| 4th runner-up | Erin Wellman Three Rivers Festival | Caylie Simmons Cheat Lake |
| 3rd runner-up | Cassidy Myers Strawberry Festival | Marleigh Ross Huntington |
| 2nd runner-up | Emma Knapp Star City | Cassidy Meyers Three Rivers Festival |
| 1st runner-up | Tamia Hardy Berkeley County | Tamia Hardy Berkeley County |
| Miss West Virginia | Nevaeh Harmon Charleston | Krystian Leonard Monongalia County |
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