Both winners made the top five last year, Savana was second runner-up and Bailey was fourth runner-up. Bailey is the first returning runner-up since Rachel Smith in 2002 (!) to win the Miss TN Teen USA title and only the third titleholder with previous experience (the others were Megan Ski Hollingsworth (2017) who was a semi-finalist in 2006 and Macy Erwin (2007) who was a non-finalist in 2006). 2011 non-finalist Samara Hamm won the 2011 title but resigned shortly afterwards.
As well as placing 4RU at Miss TN Teen USA last year Bailey was fourth runner-up at Miss TN's Outstanding Teen 2017 and first runner-up at Miss TN's Outstanding Teen 2018 in March!
The semi-finalists, all new contestants, were Loren Billingsley, CaDana Campbell (winner of Miss Congeniality), Lydia Hollis, Morgan Ann Mathis and Katherine Rogers (Miss Photogenic).
In Teen, first runner-up went to Elizabeth Graham Pistole who was also first runner-up to Megan Ski in 2017 and a semi-finalist last year. Second runner-up was newcomer Alyssa Bates who was second runner-up in the same top five as Bailey at Miss TN's Outstanding Teen 2018 (I think this may be the first or one of the first times two contestants have made the top five in an Outstanding Teen and Teen USA pageant in the same year). Third runner-up was Miss TN Teen USA 2018 first runner-up Betty Kelly and fourth runner-up was newcomer Ansley Eckert.
The rest of the top 13 were 2018 semi-finalist Ryleigh Boyd and first-time contestants, Lindsey Fletcher, Savannah Maddison (Miss Congeniality), Hallie Marshall, Taylor Parsons, Kloye Peters , Whitney Powell and Jaedin Shilling. Mary Grace Beasley won the Photogenic award.
1RU: Rayni Lasley (SF IL USA 15, SF 13)
2RU: Megan Ski Hollingsworth (TN TUSA 17)
3RU: Amanda Bell (NF 18, NF 17)
4RU: Tara Koch
Morgan Ann Mathis
Congeniality: CaDana Campbell
Photogenic: Katherine Rogers
1RU: Elizabeth Graham Pistole (SF 18, 1RU 17)
2RU: Alyssa Bates
3RU: Betty Kelley (1RU 18)
4RU: Ansley Ecker
Ryleigh Boyd (SF 18)
Congeniality: Savannah Maddison
Photogenic: Mary Grace Beasley