The Primetime Emmy Award for Outstanding Reality Competition Program is handed out for reality-style, skill-based competition formats during the primetime telecast since 2003. The award goes to the producers of the program. The Amazing Race won consecutively every year since the category's inception until Top Chef ended its streak in 2010. Likewise, American Idol had been nominated every year since the category's inception, until that streak ended in 2012. In the following list, the first titles listed are winners, these are also in bold; those not in bold are nominees, which are listed in alphabetical order. The years given are those in which the ceremonies took place:

Winners and nominations

2000s

2010s

2020s

Programs with multiple wins

Programs with multiple nominations

Totals have been combined with Outstanding Special Class Program, where competition programs were previously eligible.

Total awards by network