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: