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- beauty pageant: Miss USA
- edition: 72nd
- date: September 29 2023
- venue: Grand Sierra Resort, Reno, Washoe County, Nevada, United States
- international membership: Miss Universe
- national director: Laylah Rose Loiczly
- broadcaster: The CW
- hosts: Keltie Knight, Adrienne Bailon-Houghton, Jordan Kimball, Morgan Romano
- judges: Nicole Miller, Vivica A. Fox, Emina Cunmulaj Nazarian, Patrick Starr, Luann de Lesseps
- candidates: 51
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FINALISTS
| PLACEMENT | NAME (STATE/DISTRICT) |
| Top 20 | Sophie Burzynski (Alabama) Mackenzie Hinderberger (Arkansas) Tianna Clark (California) Karla Aponte Roque (Connecticut) Cassie Baloue (District of Columbia) Caroline Dixon (Florida) Samantha Elliot (Illinois) Savena Mushinge (Maryland) Josie Stephens (Nevada) Derby Chukwudi (New Jersey) Bianca Wright (New Mexico) Jordyn McKey (North Carolina) Kirby Self (South Carolina) Ashley Williams (Virginia) Samantha Gallia (Washington) |
| Top 5 | Savannah Gankiewicz (Hawaii) Jasmine Daniels (Pennsylvania) Lluvia Alzate (Texas) Noelia Voigt (Utah) Alexis Loomans (Wisconsin) |
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SPECIAL AWARDS
| AWARD | CANDIDATE |
| People’s Choice | Bianca Wright (New Mexico) |
| Impact Award | Sydney Russell (Mississippi) |
| Best in State Costume | Savannah Gankiewicz (Hawaii) |
| Best in Evening Gown | Jasmine Daniels (Pennsylvania) |
| Best in Swimwear | Lluvia Alzate (Texas) |
| Best in Interview | Savannah Gankiewicz (Hawaii) |
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WINNERS
| PLACEMENT | 2023 | 2022 |
| 4th runner-up | Lluvia Alzate Texas | Angel Reyes Illinois |
| 3rd runner-up | Jasmine Daniels Pennsylvania | Sir’Quora Carroll Ohio |
| 2nd runner-up | Alexis Loomans Wisconsin | Natalie Pieper Nebraska |
| 1st runner-up | Savannah Gankiewicz Hawaii | Morgan Romano North Carolina |
| Miss USA | Noelia Voigt Utah | Morgan Romano North Carolina *assumed R’Bonney Gabriel Texas *Miss Universe 2022 |
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