- beauty pageant: Miss Universe Italy
- edition: 19th
- date: October 8, 2023
- venue: Lo Smeraldo Ricevimento di Lusso, Puglia, Italy
- international membership: Miss Universe
- outgoing queen: Virginia Stablum (Trentino-Alto Adige)
- candidates: 43
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RESULTS
| PLACEMENT | CANDIDATES |
| Miss Universe Italy 2023 | Carmen Panepinto Zayati Marche |
| 1st runner-up | Andrea Pepi Sicilia |
| 2nd runner-up | Filomena Venuso Campania |
| Top 5 | Camilla Franchetto (Trentino Alto Adige) Marcella Marlene Casillo (Valle D’Acosta) |
| Top 10 | Federica Iacopino (Friuli Venezia Giulia) Arianna Galli (Lazio) Federica Negri (Piemonte) Michelle Bonati (Toscana) Ginevra Morganti (Puglia) |
| Top 20 | Fabiana Gargarella (Abruzzo) Lara D’Angiolillo (Basilicata) Francesca Comandè (Calabria) Angela Di Grazia (Emilia Romagna) Sofia Costantini (fan vote) Erika Pisano (Liguria) Lisney Maria Katalina Corradin (Lombardia) Vanessa Di Lernia (Molise) Andrea Ingrosso (Umbria) Zoe Battiston (Veneto) |
| Top 43 | Anna Galasso Beatrice Omezzali Camilla Farnesi Chiara Di Cintio Cristina Yaremchuk Diana Khaver Elisa Crocchianti Fabiana Leuci Giulia Di Benedetto Hilary Frattoluso Mara Ghione Mariangela Vulcano Marta Porreca Martina Marinelli Nicole Parrano Nina De Caprio Serena Sestini Sophie Ndiaye Tea Scafarto Valentina Brusciano Valeria Di Stefano Vanessa Zeneli Yasmiene Hassid |
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