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

Although Hawaii has made the cut fewer times than many states, they have achieved a number of high placings. Hawaii Teen USAs have been quite successful at Miss Teen USA, and are ranked fifteenth in terms of number and value of placements and were ranked third in the 1980s . Kelly Hu won the competition in 1985 becoming the 3rd state that won the Miss Teen USA title for the first time and Kiʻilani Arruda won in 2020 becoming the 38th Miss Teen USA titleholder, while two other Hawaii teens have placed as first runner-up.

Kelly Hu was the first Hawaii teen to cross over to Miss Hawaii USA, and she was also the most successful. Only three other Teens have competed at Miss USA.

NoeLani Denisi of Kahului was crowned Miss Hawaii Teen USA 2023 on January 15, 2023 at the Hawaii Convention Center in Honolulu. She will represent Hawaii for the title of Miss Teen USA 2023.

¹ Age at the time of the Miss Teen USA pageant