Randy Sanders hosts the 2018 Miss Pennsylvania USA and Miss Pennsylvania Teen USA pageant, with Brittany Mills as emcee. Contestants are introduced before the fields are narrowed to 15 semifinalists in each division. The Teen USA semifinalists compete in activewear and evening gown; the USA semifinalists compete in swimsuit and evening gown. Five finalists per division then answer judges’ fishbowl questions before the final results. Kailey Grill is crowned Miss Pennsylvania Teen USA 2018, and Olivia Suchko is crowned Miss Pennsylvania USA 2018; both winners are announced as their state’s representatives at the national Teen USA and USA pageants. The broadcast also features outgoing titleholders Lauren Ann Weaver and Cassandra Angst, contestant awards, performances, and a closing group celebration.