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- beauty pageant: Miss Universe Cayman Islands
- edition: 46th
- date: September 2, 2023
- venue: Westin Grand Cayman, Seven Mile Beach Resort and Spa, George Town, Grand Cayman, Cayman Islands
- international membership: Miss Universe
- national director: Derri Lee (Miss Cayman Islands Committee)
- hosts:
- performers: Xosia, Rico Rolando
- judges:
- candidates: 5
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FINALISTS
| PLACEMENT | NAME, AGE, HOMETOWN (SPONSOR) |
| Top 5 | Ayana Woolery, 19, George Town (Fashion Mart) Mili Almaguer, 19, West Bay (Boogle Insurance) |
| Top 3 | Tracey Campbell, 18, Bodden Town (WizCay Ltd.) Sydonie Barrett, 28, George Town (Karv Gym) Illean Powery, 25, West Bay (Häagen Dazs) |
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SPECIAL AWARDS
| AWARD | CANDIDATE |
| Miss Congeniality | Tracey Campbell (Bodden Town) |
| Miss Photogenic | Mili Almaguer (West Bay) |
| Miss Social Impact | Illean Powery (West Bay) |
| Best in Interview | Illean Powery (West Bay) |
| Best in Swimwear | Illean Powery (West Bay) |
| Best in Gown | Illean Powery (West Bay) |
| Best Smile | Sydonie Barrett (George Town) |
| Ted Green ambassador | Tracey Campbell (Bodden Town) |
| People’s Choice | Illean Powery (West Bay) |
| New York fashion designer’s choice | Tracey Campbell (Bodden Town) |
| Crowd Favorite | Illean Powery (West Bay) |
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WINNERS
| PLACEMENT | 2023 | 2022 | 2022 (original) |
| 2nd runner-up | Tracey Campbell Bodden Town | N/A | Hayley Grizzel George Town (resigned) |
| 1st runner-up | Sydonie Barrett George Town | Whitney Foster Georgetown | Chloe Powery-Doxey George Town (promoted) |
| Miss Universe | Illean Powery West Bay | Chloe Powery-Doxey Georgetown | Tiffany Conolly West Bay (dethroned) |
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