The competition consisted of a semi-final round, a special show and a final, held on 17, 18 and 19 February 2022, respectively, where "Out of Sight" performed by Muscat eventually emerged as the winning entry after scoring the most points from a six-member jury and a public televote.

On 14 March 2022, PBS announced that Muscat would ultimately perform "I Am What I Am" in Turin; the song was released to the public on the same day.

The competition consisted of a semi-final, a special show and a final held between 17 and 19 February 2022 at the Malta Fairs & Conventions Centre in Ta' Qali.

[16][17] The special show, which celebrated Malta's 50th Anniversary since their first participation in the Eurovision Song Contest, took place on 18 February 2022 and was hosted by Ryan Borg and Josmar Gatt.

[13] The twenty-two contestants performed former Maltese Eurovision songs in duets with their respective original artists.

[18] The show was opened with a guest performance from the Analise Dance Studio, and featured a tribute to 1994 Maltese Eurovision entrant Christopher Scicluna who had passed away the same day.

[20] The seventeen entries that qualified from the semi-final were performed again and the votes of a six-member jury panel (6/7) and the results of public televoting (1/7) determined the winner.

[24][25] The singer confirmed the heavily speculated theory during an interview broadcast on the TVM programme TVAM on 14 March, where she stated that she would instead perform her new single "I Am What I Am".

[28][29] In June 2024, fan site Eurosong-DK reported that the other song in contention was "Sand", which would go on to represent Denmark in the 2024 contest, performed by Saba.

[30] Prior to the contest, Muscat made appearances across Europe to specifically promote "I Am What I Am" as the Maltese Eurovision entry.

[35] According to Eurovision rules, all nations with the exceptions of the host country and the "Big Five" (France, Germany, Italy, Spain and the United Kingdom) are required to qualify from one of two semi-finals in order to compete for the final; the top ten countries from each semi-final progress to the final.

The performance began with Emma Muscat playing the piano on a platform in front of the stage with the LED screen floor displaying a white square followed by Muscat climbing on top of the piano during the first chorus and walking down to the satellite stage with the dancers to perform a choreographed routine during the final chorus.

The four dancers featured during the performance were: Frank Ksey, Giulia Santoriello, Lorenzo De Rosa and Shadia Taghi.

This jury judged each entry based on: vocal capacity; the stage performance; the song's composition and originality; and the overall impression by the act.

The individual rankings of each jury member in an anonymised form as well as the nation's televoting results were released shortly after the grand final.