The Miss Massachusetts USA & Teen USA 2006 pageant ended with Tiffany Kelly winning Miss and Caroline Caruso winning Teen. The two competed in Miss USA and Miss Teen USA!

The Top 5 finalists at the Miss Massachusetts USA 2006 pageant were:
1RU: Lindsay Lubets
2RU: Jessica Gregory (MA TUSA 97)
3RU: Christina Turiez
4RU: Kimberly Allain (4RU MA TUSA 00)

Semi-finalists
Lauren Alviti (2RU RI USA 05, 2RU RI USA 04, RI TUSA 97)
Tatiana Bascope
Tara Fitzgerald
Keri Froio (SF 05, NF 02, SF MA TUSA 00, SF MA TUSA 99)
Monique Jones (1RU 05, 1RU 02, MA TUSA 00, 1RU MA TUSA 99, 1RU MA TUSA 98)
Ashley Jordan (SF 05, 4RU 04)
Charity Watkins

The Top 5 finalists at the Miss Massachusetts Teen USA 2006 pageant were:
1RU: Julie Macalaster
2RU: Biliana Mihaylova (SF 05)
3RU: Sasha Almeida-Beers
4RU: Alana Megna (4RU 05)

Semi-finalists:
Kathlyn Almeida
Kemylee Brisport
Taylor Ferry
Katie Herook
Lauren Iapicca
Caitlin Murgia
Alyssa Riley (3RU 05)
Caitlin Sanders
Lauren Tangard
Brittany Troy