Ten different Miss USA titleholders have also previously competed at Miss Teen USA

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• Shanna Moakler (1995, Miss Rhode Island Teen USA 1992)

• Ali Landry (1996, Miss Louisiana Teen USA 1990)

• Kimberly Pressler (1999, Miss New York Teen USA 1994)

• Lynnette Cole (2000, Miss Tennessee Teen USA 1995)

• Susie Castillo (2003, Miss Massachusetts Teen USA 1998)

• Chelsea Cooley (2005, Miss North Carolina Teen USA 2000)

• Tara Conner (2006, Miss Kentucky Teen USA 2002)

• Rachel Smith (2007, Miss Tennessee Teen USA 2002)

• Alyssa Campanella (2011, Miss New Jersey Teen USA 2007)

• Sarah Rose Summers (2018, Miss Nebraska Teen USA 2012)