The Miss Nevada USA competition is the pageant that selects the representative for the state of Nevada in the Miss USA pageant. While Nevada did well in the early years of the Miss USA pageant, they only placed once from 1987 to 2000. This streak was broken by Gina Giacinto's finalist placing in Miss USA 2001. Many Miss Nevada USA titleholders previously competed in the Miss Teen USA and Miss America pageants. Seven titleholders previously held the Miss Teen USA state titles six of which having won Miss Nevada Teen USA and the other was Miss Washington Teen USA, three held the Miss Nevada Crown in the Miss America Pageant. Nia Sanchez of Las Vegas became the first Miss USA ever from the state of Nevada when she was crowned Miss USA 2014, she later placed first runner-up in Miss Universe 2014 to Paulina Vega of Colombia. Najah Ali of Las Vegas was crowned Miss Nevada USA 2024 on June 30, 2024, at Westgate Las Vegas Resort & Casino in Las Vegas. She will represent Nevada at Miss USA 2024.

Gallery of titleholders

Results summary

Placements

Nevada holds a record of 27 placements at Miss USA.

Awards

Winners

Declared as winner of Miss USA Ended as runner-up for Miss USA Ended as one of the finalists or semifinalists for Miss USA 1 Age at the time of the Miss USA pageant