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- beauty pageant: Reinas del Paraguay
- edition: 2nd
- date: June 25, 2023
- venue: Paseo La Galeria Centro de Eventos, Asuncion, Paraguay
- international memberships: Miss Universe, Miss World, Miss International, Miss Earth, Reina Hispanoamericana
- national director: Ariela Machado
- broadcaster: Canal 13
- hosts: Tania Domaniczky, Lucia Sapena
- judges: Stephania Stegman, Julio Hernandez, Celina Lezcano, Sergio Ferrari, Graciela Moreira
- candidates: 11
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FINALISTS
| PLACEMENT | NAME (HOMETOWN) |
| Top 11 | Alexandra Rivas (Ciudad del Este) Amanda Marey Ayelen Perez (Asunción) Gabriela Acuña (Julián Augusto Saldívar) Lizzi Florentin Yannina Jiménez |
| Top 5 | Elicena Andrada (Asunción) Gretha Matiauda (Asunción) Jimena Sosa (Itapua) Lorena Román (Minga Guazu) Yanina Gómez (Concepcion) |
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SPECIAL AWARDS
| AWARD | CANDIDATE |
| Miss Congeniality | |
| Miss Photogenic |
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WINNERS
| PLACEMENT | 2023 | 2022 |
| Reina Hispanoamericana Paraguay | Lorena Román Minga Guazu | Mandy Eksteen Limpio |
| Miss Tierra Paraguay Miss Earth Paraguay | Gretha Matiauda Asunción | Macarena Tomás Central |
| Miss Internacional Paraguay Miss International Paraguay | Jimena Sosa Itapua | Jazmín de la Sierra Caaguazu |
| Miss Mundo Paraguay Miss World Paraguay | Yanina Gómez Concepcion | Dahiana Benitez Gatzke Itapua |
| Miss Universo Paraguay Miss Universe Paraguay | Elicena Andrada Asunción | Lia Ashmore Amazonas |
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