The Miss North Carolina USA competition is the pageant that selects the representative for the state North Carolina in the Miss USA pageant.
List of winners
| Year | Miss North Carolina USA | Results at Miss USA and Miss Universe |
|---|---|---|
| 1992 | Tess Elliott | |
| 1993 | Christa Tyson | |
| 1994 | Lynn Jenkins | 2nd Runner-up at Miss USA |
| 1995 | Michelle Mauney | |
| 1996 | Jessica McMinn | |
| 1997 | Crystal McLaurin-Coney | |
| 1998 | Vera Morris | Miss Congeniality at Miss USA |
| 1999 | Joy Hall | |
| 2000 | Portia Johnson | |
| 2001 | Monica Palumbo | Miss Congeniality at Miss USA |
| 2003 | Alison English | |
| 2003 | Kristen Luneberg | |
| 2004 | Ashley Puleo | 2nd Runner-Up to Miss USA |
| 2005 | Chelsea Cooley | Miss USA, Top 10 at Miss Universe |
| 2006 | Samantha Holvey |