The 2018 National All-American Miss pageant concluded with Sarah Cooper winning the title of National All-American Miss 2018-2019, Tayah Allen winning the title of National All-American Miss Teen 2018-2019, Abigail Maiden winning the title of National All-American Miss Jr. Teen 2018-2019, Rylee Teeter winning the title of National All-American Miss Pre-Teen 2018-2019, Lilly Fauci winning the title of National All-American Miss Jr. Pre-Teen 2018-2019 and Jaksyn Brown winning the title of National All-American Miss Princess 2018-2019.