The 2021 Miss Iowa’s Outstanding Teen Competition is an official preliminary to Miss America’s Outstanding Teen 2022.

In June of 2021, Caitlin Crome, Miss Iowa’s Outstanding Teen 2019, will crown Miss Iowa’s Outstanding Teen 2021.

The competition for Miss Iowa's Outstanding Teen 2020 was cancelled due to COVID-19.

The contestants for MIAOT 2021 are:
- Miss Clinton County’s Outstanding Teen, Raina Starkey
- Miss Scott County's Outstanding Teen, Camryn Saxon
- Miss Burlington's Outstanding Teen, Emily Lerch
- Miss Okoboji's Outstanding Teen, Carly Izard
- Miss Johnson County's Outstanding Teen, Josie Hove
- Miss Greater Des Moines' Outstanding Teen, Lizzy Slade
- Miss Metro's Outstanding Teen, Brooklynn Nelson
- Miss Eastern Iowa's Outstanding Teen, Ella Hurst
- Miss Great River’s Outstanding Teen, Stella DeLong
- Miss Golden Circle’s Outstanding Teen, Greta Gordon
- Miss Heartland’s Outstanding Teen, Kailey Johnson
- Miss Mississippi Valley’s Outstanding Teen, Morgan Dodds