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- beauty pageant: Miss Iowa Teen USA
- edition: 40th
- date: May 21, 2022
- venue: Des Moines Marriott Downtown, Des Moines, Iowa, United States
- outgoing queen: Angel Strong
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WINNERS
| PLACEMENT | CANDIDATES |
| Miss Iowa Teen USA 2022 | Marisa Mathson Dallas County |
| 1st runner-up | Mackenzie Lorton Warren County |
| 2nd runner-up | Carlie Jo Ahrenstorff Okoboji |
| 3rd runner-up | Madeline Erickson Ankeny |
| 4th runner-up | Malinda Voortmann Clear Lake |
| Top 11 | Makenzie Dressback (Central Oiwa) Sarah Komas (Des Moines) Vanessa Waymire (Garner) Sydney Helt (Sioux City) Payton Anderson (Washington) Sophia Fain (Waterloo) |
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