Miss Gay Sin City USofA at Large is a prelim to Miss Gay USofA at Large.
Miss Gay Sin City USofA at Large Titleholders
Dorae Saunders 
Desree D. St. James
Miss Gay Sin City USofA at Large Titleholders
- 2005 – Dorae Saunders
- 2019 – Desree D. St. James
Miss Gay Sin City USofA at Large History
Miss Gay Sin City USofA at Large 2019
- Winner – Desree D. St. James
- 1st Alternate – Summer Breeze
Miss Gay Sin City USofA at Large 2006 – 2018
Needs research.
Miss Gay Sin City USofA at Large 2005
- Winner – Dorae Saunders
