The Miss Tennessee Teen USA 2019 pageant ended with Bailey Guy winning the title of Miss Tennessee Teen USA 2019 and getting the opportunity to advance to the Miss Teen USA 2019 pageant!

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

First Runner-Up - Elizabeth Graham Pistole
Second Runner-Up - Alyssa Bates
Third Runner-Up - Betty Kelley
Fourth Runner-Up - Ansley Ecker

Top placements at the Miss Tennessee USA 2019 pageant were:

Ryleigh Boyd
Lindsey Fletcher 
Savannah Maddison 
Hallie Marshall 
Taylor Parsons
Kloye Peters 
Whitney Powell
Jaedin Shilling 

Special Awards at Miss Tennessee USA 2019 were:

Mary Grace Beasley who won the Photogenic Award.
Savannah Maddison who won Miss Congeniality.