- beauty pageant: Miss Massachusetts USA
- edition: 41st
- date: January 29, 2023
- venue: Burlington Marriott Hotel, Burlington, Massachusetts, United States
- candidates: 37
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RESULTS
| PLACEMENT | CANDIDATES |
| Miss Massachusetts Teen USA 2023 | Yanelyn Quintana Havervill |
| 1st runner-up | Brooke Goodrich Oxford |
| 2nd runner-up | Mia Mitchell Kingston |
| 3rd runner-up | Isabelle Richards Back Bay |
| 4th runner-up | Margaret Leighton Leominster |
| Top 16 | Genevieve Tatulli (Blackstone Valley) Isa Long (Cambridge) Katherine Malloy (Canton) Annalisa Hair (Cherry Valley) Makayla Peck (Foxborough) Lauren Plank (Marlborough) Karollyne Dutra (Melrose) Sophia Encarnacion (Merrimack Valley) Luiza Pinto (Peabody) Kelly Pimentel (Weymouth) Jillian Casey (Woburn) |
| Top 37 | Ashley Sachs (Ashland) Marie Wirth (Boston) Rafaela Deoliveira (Chestnut Hill) Keiarra Gray-Pereira (Dorchester) Sophia Mcclay (Dudley) Skylar Wluka (Easton) Skylar Shickel (Hingham) Katelyn Johnson (Hudson) Cassandra Santiago (Lawrence) Elena Tsitsas (Needham) Camille Boursiquot (Newton) Fiona Morris (Norfolk County) Navya Verma (North Attleboro) Brooke Waxman (North Shore) Chanelle Calderon (Randolph) Kristie Sandler (Needham) Brooke Littlefield (South Shore) Kaitlyn Johanson (Taunton) Emerson Graham (Walpole) Allia Amaral (Westport) Payton Gray (Winthrop) |
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