Miss Teen USA

• 
  Miss Teen USA 2015
  Katherine Haik, Louisiana
• 
  Miss Teen USA 2014
  K. Lee Graham, South Carolina
• 
  Miss Teen USA 2013
  Cassidy Wolf, California
• 
  Miss Teen USA 2011
  Danielle Doty, Texas
• 
  Miss Teen USA 2010
  Kamie Crawford, Maryland
• 
  Miss Teen USA 2009
  Stormi Henley, Tennessee
• 
  Miss Teen USA 2008
  Stevi Perry, Arkansas
• 
  Miss Teen USA 2007
  Hilary Cruz, Colorado
• 
  Miss Teen USA 2006
  Katie Blair, Montana
• 
  Miss Teen USA 2005
  Allie LaForce, Ohio
• 
  Miss Teen USA 2004
  Shelley Hennig, Louisiana
• 
  Miss Teen USA 2003
  Tami Farrell, Oregon
• 
  Miss Teen USA 1998
  Vanessa Minnillo, South Carolina
• 
  Miss Teen USA 1992
  Jamie Solinger, Iowa
• 
  Miss Teen USA 1985
  Kelly Hu, Hawaii

• Alabama
• Alaska
• Arizona
• District of Columbia
• Florida
• Georgia
• Indiana
• Kentucky
• Maine
• Massachusetts
• Michigan
• Minnesota
• Nebraska
• Nevada
• New Jersey
• New Mexico
• North Carolina
• North Dakota
• Rhode Island
• South Dakota
• Utah
• Virginia
• Washington
• West Virginia
• Wyoming

The pageant's viewership peak was hit in 1988, when the pageant averaged over 22 million viewers on CBS. Even as recently as 1999, the show managed to bring in over 10 million viewers. The 2006 airing was the second lowest rated in the pageant's 23-year history, with only 5.6 million viewers watching the live broadcast (the lowest: 2004, with 5.34 million).[3] The 2007 telecast (25th Anniversary, scheduled for August 24, 2007) was the last time Miss Teen USA aired live on television.

The 2008 pageant was held, untelevised, on August 16, 2008. One factor that prevented NBC from broadcasting was its prime time commitment to the 2008 Summer Olympics in Beijing. Since then, it is broadcast over the Internet on the Miss Teen USA website. It can be viewed worldwide, without any region restrictions via geolocation. Currently, it is hosted by YouTube (Ustream from 2008–13). In addition, the webcast can be accessed on the pageant's Facebook page and on mobile devices using the official Miss Universe mobile app released during Miss USA 2016.

In 2012, the pageant began to simulcast in selected regions on Microsoft's Xbox Live service, allowing owners of the Xbox 360 (until 2017) and/or Xbox One consoles to watch the pageant on a television screen. In 2017, the pageant was also broadcast on Sony's PlayStation Network service.

The 2017 pageant was the first to include both a 360-video option for virtual reality headsets and HDR10 support for Xbox One S owners. The 2018 pageant featured support for Dolby Atmos audio and 4K video on the Xbox One S and X consoles.

Since 2018, the pageant is held concurrently with its sister Miss USA pageant in a single city a few days before the start of Miss USA final competition.

In the early years of Miss Teen USA, three winners represented the title "Miss Teen USA" at Miss USA. The three queens were: Ruth Zakarian (1983), Cherise Haugen (1984), and Allison Brown (1986). This also made history because the Miss USA 1984 pageant had 53 delegates, the most ever in a Miss USA pageant. In 1987, Miss Teen USA 1986, Allison Brown participated in the 1987 Miss USA pageant. All three failed to make the cut at their respective Miss USA pageants.

Only in the three years mentioned above did Miss Teen USA winners automatically gain representation at Miss USA. Starting in 1988, if the Miss Teen USA winners want to compete at Miss USA, they first must win a Miss USA state crown. A total of seven Miss Teen USA winners have participated at Miss USA, with four winning their state Miss USA crowns first. The first of these was Kelly Hu, Miss Teen USA 1985, who won the Miss Hawaii USA 1993 title and represented Hawaii at Miss USA 1993. She finished as a finalist. The next was Jamie Solinger, Miss Teen USA 1992. She took the Miss Iowa USA 1998 title but failed to make the cut at the Miss USA pageant. Only two Miss Teen USA winners have made the top 3 of Miss USA. Brandi Sherwood, Miss Teen USA 1989 won the Miss Idaho USA 1997 title. Succeeding Kelly, she took 1st runner up and later inherited the Miss USA crown, when Brook Mahealani Lee of Hawaii won Miss Universe 1997. She is the only Miss Teen USA winner to hold the title Miss USA. Shauna Gambill was close in winning the Miss USA 1998 title, but placed 1st runner up to Shawnae Jebbia, Miss Massachusetts USA 1998. However, to date it has never happened that the same woman had won the 2 separate pageants officially.

There have been two years when two Miss Teen USA winners participated at Miss USA. The first was 1984, when Miss Teen USA 1983 and Miss Teen USA 1984 participated, the second was 1998, when Jamie Solinger competed as Miss Iowa USA but went unplaced, and Shauna Gambill competed as Miss California USA and placed first runner-up.

The first Miss Teen USA not to win a Miss USA state pageant on her first attempt was Christie Lee Woods, Miss Teen USA 1996, of Texas, who placed third runner-up in the Miss Texas USA 2002 pageant. She would also become the first Miss Teen USA to compete for, but never win a Miss USA state title (she also placed as a semi-finalist in 2003 and 2004). The second Miss Teen USA who did not win a Miss USA state title on her first attempt was Ashley Coleman, Miss Teen USA 1999, of Delaware, who competed in the Miss California USA 2006 pageant and finished third runner-up. She is the first Miss Teen USA winner to compete in a different state from that where she won her Miss Teen USA crown. Tami Farrell, Miss Teen USA 2003, competed at Miss California USA 2009 as Miss Malibu USA, but failed to win the crown, placing first runner-up to Carrie Prejean. Farrell competed at Miss Teen USA as Miss Oregon Teen USA, and was one of the few Miss Teen USA winners to try for the state crown outside of the state she represented for Miss Teen USA. In a span of only two years later, Miss Teen USA 2006, Katie Blair also competed at Miss California USA 2011. Representing the state of Montana at Miss Teen USA 2006, Blair is only the third Miss Teen USA to compete in a state other than the state she competed in Teen. Similarly to Coleman and Farrell, Blair placed 1st runner up in the pageant, to Alyssa Campanella, who also competed in Miss Teen USA representing New Jersey. Campanella went on to win Miss USA 2011. Danielle Doty, Miss Teen USA 2011, competed at Miss Texas USA 2018, who placed in the semifinals.