Miss Tennessee USA

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

Since 2001 the pageant has been held in the auditorium at Austin Peay State University in Clarksville, Tennessee.

Lynnette Cole, Miss Tennessee USA 2000, and Rachel Smith, Miss Tennessee USA 2007, are the only titleholders to win the Miss USA title. Cole's predecessor Morgan Tandy High placed first runner-up in 1999. Five Miss Tennessee USA titleholders have formerly competed at Miss Tennessee Teen USA, and Six at Miss America. One of these is Allison Alderson, a "triple crown" winner who has held the Miss Tennessee Teen USA, Miss Tennessee, and Miss Tennessee USA titles, competing at all three major pageants.

In the 2000s, there have been two notable progressions of three consecutive titleholders. From 2002 to 2004, three consecutive Miss Tennessee titleholders won Miss Tennessee USA titles, in the order in which they had held the original titles. This has never happened in the history of Miss USA and Miss America state pageants. From 2005 to 2007, three women who placed in the top six in the Miss Tennessee Teen USA 2002 pageant won the Miss Tennessee USA title. One of these includes the winner of the 2002 teen pageant, Rachel Smith. The pageant is also the only pageant to have two of only four women to place at the top 5 at Miss USA and Miss America.

The pageant is directed by Miss Tennessee USA 1989: Kim Greenwood.