Miss Heart of America Continental is a prelim to Miss Continental.
Miss Heart of America Continental Titleholders
Shantell D’Marco 
Aurora Sexton – Photo by Alyssa Barker 
Mokha Montrese 
Tiffany T. Hunter – Photo by Richard Yates Photography 
Vancie Vega 
Yuni Carey 
Melony VonKruz – Photo by The Drag Photographer
Miss Heart of America Continental Titleholders
- 2008 – Shantell D’Marco
- 2009 – Aurora Sexton
- 2010 – Mokha Montrese
- 2011 – Tiffany Hunter
- 2015 – Vancie Vega
- 2017 – Yuni Carey
- 2018 – Melony VonKruz
Miss Heart of America Continental History
Miss Heart of America Continental 2018
- Winner – Melony VonKruz
- 1st Alternate –
- 2nd Alternate – Ivy League
Miss Heart of America Continental 2017
- Winner – Yuni Carey
Miss Heart of America Continental 2016
- Winner –
Miss Heart of America Continental 2015
- Winner – Kourtney Paige Van Wales
- 1st Alternate – Luscious
Miss Heart of America Continental 2014
- Winner –
Miss Heart of America Continental 2013
- Winner –
Miss Heart of America Continental 2012
- Winner –
Miss Heart of America Continental 2011
- Winner – Tiffany Hunter
Miss Heart of America Continental 2010
- Winner – Mokha Montrese
Miss Heart of America Continental 2009
- Winner – Aurora Sexton
Miss Heart of America Continental 2009
- Winner – Shantell D’Marco
