The Miss New Hampshire USA competition is the pageant that selects the representative for the state of New Hampshire in the Miss USA pageant. It was directed by The Clemente Organization based in Malden, Massachusetts from 2013 to 2019. GDB Theatre and Pageant Productions became the new directors for the event starting from 2020 competition. New Hampshire has had little success at Miss USA that was not yet placed until 1962, the fifth-to-last state has made its ever placement, and has only placed five times. New Hampshire most recent placement was Camila Sacco at Miss USA 2022 after 18 years of consecutive non-placements. Three Miss New Hampshire USA titleholders have previously competed at Miss Teen USA, and three have competed at Miss America. Ariel Sullivan of Portsmouth was crowned Miss New Hampshire USA 2024 on June 9, 2024, and will represent New Hampshire at Miss USA 2024.

Results summary

Placements

New Hampshire holds a record of 5 placements at Miss USA.

Awards

Winners

Declared as Winner Ended as runner-up Ended as one of the finalists or semifinalists