The 2019 Miss Nebraska USA and Miss Nebraska Teen USA pageant concluded with Lex Najarian winning the title of Miss Nebraska USA 2019 and Erin Shae Swanson winning the title of Miss Nebraska Teen USA 2019. They also won the opportunity to represent Nebraska at the 2019 Miss USA and Miss Teen USA pageant.
The Top 5 finalists at the 2019 Miss Nebraska USA pageant were:

First Runner-Up - Terra Young
Second Runner-Up – Samantha Washington
Third Runner-Up - Alyssa Hustrulid
Fourth Runner-Up - Rebecca Queensland

The Top 10 placements at the 2019 Miss Nebraska USA pageant were:

Meredith Burroughs
Molly Griger
Melissa Sloboth
Shelbe Stroh
Kamryn Young

The Special Awards at the 2019 Miss Nebraska USA pageant were:

Miss Congeniality - Meredith Burroughs
Most Photogenic - Lex Najarian
Overall Swimsuit - Terra Young
Overall Evening Gown - Samantha Washington
Overall Interview - Lex Najarian

The Top 5 finalists at the 2019 Miss Nebraska Teen USA pageant were:

First Runner-Up - Sophia Steffen
Second Runner-Up - Baylee Renz
Third Runner-Up - Angel Strong
Fourth Runner-Up - Mary Elizabeth Foster

The Top 10 placements at the 2019 Miss Nebraska Teen USA pageant were:

Callie Dennison
Hannah Johnson
Grace Messenger
Sydney Spreeman
Skylar Stearley

The Special Awards at the 2019 Miss Nebraska Teen USA pageant were:

Miss Congeniality – Angel Strong
Most Photogenic - Baylee Renz
Overall Activewear - Erin Shae Swanson
Overall Evening Gown - Sophia Steffan
Overall Interview - Skylar Stearley