The Miss Virginia USA competition is the pageant that selects the representative for the state of Virginia in the Miss USA pageant.

Virginia has been only moderately successful in terms of number of semi-finalists. They have had two Miss USAs. They are one of only four states to have had two Miss USAs in succession (the others being Illinois, Texas, and District of Columbia). Virginia's greatest success came from the late 1960s to early 1980s. Virginia should have had the first Miss USA crown in 1954, as Ellen Whitehead finished 1st runner-up, and Miss USA 1954, Miriam Stevenson, became Miss Universe 1954. However, there was no rule until the 1960s that the 1st runner-up became Miss USA after the winner won Miss Universe. If that was true, 2nd runner-up, Miss New York USA, Karin Hultman would have become Miss USA 1954, as Whitehead was disqualified due to being underage.

Ten Miss Virginia USA winners have previously held the Miss Virginia Teen USA title and competed at Miss Teen USA and three were previously competed in other states (Georgia, New Jersey and New York), at thirteen. Virginia also currently holds the record for the most Miss Teen USA state winners to win a Miss USA state title from the same state. Two Miss winners have also competed at Miss America.

The current titleholder is Ashley Williams Reston was crowned on April 30, 2023, at Hylton Performing Arts Center in Manassas. She will represent Virginia for the title of Miss USA 2023.

• Donna Dixon (pictured in 1990), Miss Virginia USA 1976 and Miss District of Columbia World 1977
• Julie Laipply, Miss Virginia USA 2002
• Kristi Lauren Glakas, Miss Virginia USA 2004
• Amber Copley, Miss Virginia USA 2006
• Samantha Casey, Miss Virginia USA 2010
• Catherine Muldoon, Miss Virginia USA 2012
• Desiree Williams, Miss Virginia 2013 and Miss Virginia USA 2016

• Miss USAs: Wendy Dascomb (1969), Deborah Shelton (1970)
• 1st runners-up: Ellen Whitehead (1954), Patricia Southall (1994)
• 2nd runners-up: Samantha Casey (2010)
• 4th runners-up: Sheryl Lynn Herring (1977)
• Top 10: Meredith Blankenship (1998), Kellie Lightbourn (1999), Lauren Barnette (2007), Desiree Williams (2016)
• Top 11/12: Brenda Joyce Miller (1971), Linda McKee (1975), Robin Shadle (1978), Betsy Bott (1979), Pam Hutchens (1981),Sondra Dee Jones (1982), Marsha Ralls (1987), Brandi Bottorff (1992),
• Top 15/16/20: Elizabeth "Betty" Karen Kallmyer (1967), Laurie Burke (1968), Maegan Phillips (2009), Arielle Rosmarino (2014), Laura Puleo (2015), Christina Thompson (2021), Ashley Williams (2023)

Virginia holds a record of 25 placements at Miss USA.

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