Millan-Windorski was crowned on December 31, 2023, by Miss Earth USA 2023, Danielle Mullins, from Kentucky at the Rosen Center in Orlando, Florida.

The pageant focused mainly on promoting environmental causes and the winners were chosen equally on their physical attributes as well as their understanding and knowledge of the issues affecting the Earth.

The organization is based in Washington, D.C.[11] Pre-pageant events take place over a one-week period and include community service work within the host location.

[13] Every year, states hold a preliminary competition to choose their delegate for the Miss Earth USA pageant.

State contestants are judged equally in the following categories: community service, gown, interview, photogenic, and swimwear.

The following is a list of all Miss Earth USA winners and elemental court during their year of crowning.

[18] Together, these delegates make up Miss Earth USA system and bring awareness to environmental concerns while celebrating talents in modeling, fashion, and public speaking.