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- beauty pageant: Miss Massachusetts USA
- edition: 40th
- date: March 27, 2022
- venue: Burlington Marriott Hotel, Burlington, Massachusetts, United States
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WINNERS
| PLACEMENT | CANDIDATE |
| Miss Massachusetts Teen USA 2022 | Jillian Driscoll Lynnfield |
| 1st runner-up | Melissa Sapini North Attleboro |
| 2nd runner-up | Avery Turner Reading |
| 3rd runner-up | Lauren Plank Marlborough |
| 4th runner-up | Giovanna Ward *Miss Photogenic Back Bay |
| Top 16 | Shefali Bakre (Burlington) AnnaLisa Hair (Cherry Valley) Sarah Ligie Melendez (Essex County) Grace Blake (Lunenburg) Elena Tsitsas (Needham) Brooke Goodrich (Oxford) Grace Connelly (Scituate) Ella Thomas-Montgomery (Walnut Hill) Kelly Pimentel (Weymouth) Rafael DeOliveira (Whitman-Hanson) *Miss Congeniality Judy Li (Winchester) |
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