The Miss West Virginia USA competition is the pageant that selects the representative for the state of West Virginia in the Miss USA pageant. This pageant is independently conducted and produced by Sanders & Associates, Inc., dba- Pageant Associates based in Buckhannon, West Virginia. Although West Virginia has not produced a Miss USA, four West Virginian delegates have placed: Kristen Morrison in 2005, Jessi Pierson in 2009, Chelsea Welch in 2013, and Nichole Greene in 2016. Their most recent placement was Krystian Leonard who placed in the Top 16 in 2022.