The Miss North Carolina's Teen competition is the pageant that selects the representative for the U.S. state of North Carolina in the Miss America's Teen pageant.
Hanley House of Cleveland, North Carolina was the first contestant from North Carolina to win the national title on January 13, 2024.
In January 2023, the official name of the pageant was changed from Miss North Carolina's Outstanding Teen, to Miss North Carolina's Teen, in accordance with the national pageant.
Kate Ward of Kenansville was crowned Miss North Carolina's Teen 2025 on June 28, 2025, at the High Point Theater in High Point, North Carolina. She competed for the title of Miss America's Teen 2026 in September 2025.
The following is a visual summary of the past results of Miss North Carolina's Teen titleholders presented in the table below. The year in parentheses indicates year of the Miss America's Teen competition in which the placement and/or award was garnered.