The Miss South Dakota Teen USA 2019 pageant ended with Shelby Specht winning the title of Miss South Dakota Teen USA 2019 and getting the opportunity to advance to the Miss Teen USA 2019 pageant!

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

First Runner-Up - Molly Saltzman
Second Runner-Up - Izabel Kreger
Third Runner-Up - Kate Dailey
Fourth Runner-Up - Madison Price

Top placements at the Miss South Dakota Teen USA 2019 pageant were:

Cate B.
Janelle Dickau
Alexis K.
Emma S.
Jaimye Lynn Wininger

Special Awards at Miss South Dakota USA 2019 were:

Madison Price who won the Photogenic Award.